Clinical effect of laparoscopy in the modified nerve palne-sparing radical hysterectomy of early stage cervical cancer

Abstract

Objective To evaluate the clinical effect of laparoscopy in the modified nerve palne-sparing radical hysterectomy (NPSRH) of early stage cervical cancer. Methods From January 2014 to December 2015 in our hospital, 38 patients with early cervical cancer were enrolled and randomly divided into NPSRH group and laparoscopic radical hysterectomy (LRH) group in the study. The surgery general situations of two groups were compared, and postoperative intestinal and bladder function of these patients were also assessed. Results All of 38 patients were successfully completed the operation, without significant intraoperative or postoperative complications. There were no significant differences in the bleeding volume, pelvic lymph dissection number, cut length of main ligament and sacral ligament, cut length of anterior vaginal wall, and posterior vaginal wall between two groups (P>0.05). The mean operation time in NPSRH group was longer than in LRH group, but the duration of postoperative hospital stay was shorter than the latter (P<0.01). Compared to control group, the catheter retention time, residual urine volume, maximal micturition volume, and Qmax in the NPSRH group recovered better, and with lower rate of nocturia and dysuria (P<0.05). The exhaust time and anal defecation time in the NPSRH group were significantly shorter than the LRH group, and lower rate of constipation additionally (P<0.05). Conclusions The laparoscopy in the modified nerve palne-sparing radical hysterectomy is a safe and effective measurement for the treatment of early-stage cervical cancer patients. It can significantly reduce the duration of postoperative hospital stay, promote the functional recovery of bladder and rectum, and improve the patients' postoperative quality of life. Key words: Laparoscopy; Uterine cervical neoplasms/SU; Pelvis/IR