Abstract:
Objective To investigate the perioperative parameters and complications of laparoscopic type C1(nerve-sparing) radical hysterectomy, and summarize the experience of nerve preservation operation.
Methods The cervical cancer patients(FIGO Ⅰ B-Ⅱ A) diagnosed and treated in our hospital from June 2015 to June 2018 were included in our study. Patients accepted the laparoscopic type C1(nerve-sparing) radical hysterectomy were included in type C1 group(n=29), while the cases undergoing laparoscopic type C2 radical hysterectomy were included in control group(n=35). The perioperative parameters were compared between the two groups.
Results There was no significant difference in age, BMI, clinical stage, preoperative placement of ureteral stent, scope of lymphadenectomy, pathological type and postoperative adjuvant therapy between two groups(
P> 0.05). The average length of hospital stay in the type C1 group were less than those in the control group (16.3±2.9) d
vs(18.7±4.0) d,
P=0.009, while the operating time was longer (217.7±62.0) min
vs(189.3±54.1) min,
P=0.055. No significant difference was found in bleeding volume, surgical resection range, and incidence of complications such as infection, lymphocyst, urinary tract and bowel injury between two groups(
P> 0.05). Compared with the control group, the type C1 group had less indwelling catheter time (13.9±4.7) d
vs(18.5±6.1) d,
P=0.002, shorter exhaust time (34.1±7.8) h
vs(39.5±11.0) h,
P=0.030.
Conclusion For cervical cancer patients in stage Ⅰ B-Ⅱ A, laparoscopic type C1 radical hysterectomy can reduce postoperative bladder and bowel dysfunction.