Comparison of extensive hysterectomy plus pelvic lymphadenectomy under laparoscopy with laparotomy

Abstract

Objective To compare the clinical efficacy of laparoscopy with laparotomy in radical hysteretomy plus pelvic lymphadenectomy in cervical cancer patients. Methods This retrospective analysis included two groups: ①Twenty patients underwent laparoscopy-assisted radical hysteretomy plus pelvic lymphadenectomy(laparoscopy group); ②Twenty-five patients were treated with radical hysteretomy plus pelvic lymphadenectomy by laparotomy(laparotomy group). The tumor stage in these two group of patients was matched.Multiple clinical parameters were observed and analyzed statistically. Results Comparing with the patients in laparotomy group, the patients in laparoscopy group had a longer operative duration (279 vs 212min), less blood loss (456 vs 629ml) and less transfusion (42 vs 148ml),shorter interval of postoperative gastrointestinal function recovery (35 vs 64 h),quicker return to normal temperature (3 vs 5 d),shorter period of using antibiotics (5 vs 7 d) and hospital stay (8 vs 14 d)(P 0.05). Conclusions The efficacy of radical hysteretomy plus pelvic lymphadenectomy by laparoscopy in cervical cancer patients is similar to that of laparotomy, and it has little trauma and rapid recovery. Key words: Cervical cancer ; Laparoscopy ; Extensive hysterectomy ; Lymphadenectomy ;