Abstract
Objective To explore the efficacy of laparoscopic nerve sparing radical hysterectomy for malignant uterine cancer. Methods Nighty-five patients with early cervical cancer and endometrial cancer received surgery from Aug.2013 to Jun. 2015 in Central Hospital of Xinxiang, 43 cases underwent laparoscopic nerve sparing radical hysterectomy pelvic lymphadenectomy, 52 cases underwent radical hysterectomy combined pelvic lymphadenectomy. The data of operating time, blood loss, excision extent, numbers of lymph node, the postoperative function of bladder, rectal and sexual were assessed. Results There were not remarkable difference in terms of operating time, excision extent, number of lymph node, duration of hospital stays. The data of blood loss, the postoperative function of bladder, rectal and sexual reached statistical difference [(180±55)ml vs (340±75)ml, (51.2±10.3)h vs (74.9±12.8) h, (11.6±2.1) d vs (18.3±2.9) d, 19.9 points vs 23.4 points] (P<0.05). Conclusions Laparoscopic nerve sparing radical hysterectomy pelvic lymphadenectomy can remarkably improve postoperative function of bladder, rectal, sexual and psychological status, so it is safe and feasible for early cervical cancer and endometrial cancer. Key words: Laparoscopic surgery; Preservation of pelvic nerve; Cervical cancer; Endometrial cancer; Radical hysterectomy
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