Effects of radical hysterectomy with and without pelvic autonomic nerve preservation on intestinal and bladder function in patients with stage I cervical cancer
Objective To investigate the effects of radical hysterectomy(RH)with and without pelvic autonomic nerve preservation on intestinal and bladder function in patients with stage I cervical cancer.Method According to whether the pelvic autonomic nerve was preserved during operation,105 patients with stage I cervical cancer who under-went laparoscopic RH were divided into preserved group(n=53)and non-preserved group(n=52).The non-preserved group did not preserve the pelvic autonomic nerve during operation,and the preserved group preserved the pelvic auto-nomic nerve during operation.The operative indicators,intestinal function,bladder function[maximum flow rate(MFR),maximal detrusor pressure(MDP),residual urine volume]and postoperative complications were compared between the two groups.Result The operation time of the non-preserved group was shorter than that of the preserved group,the first postoperative exhaust time and first postoperative defecation time were longer than those of the preserved group,the total incidences of intestinal dysfunction and postoperative complications were higher than those of the preserved group,and the differences were statistically significant(P<0.05).One month after operation,the residual urine volume in two groups were higher than those before operation,the MFR and MDP were lower than those before operation,the residual urine volume in non-preserved group was higher than that in preserved group,the MFR and MDP were lower than those in pre-served group,and the differences were statistically significant(P<0.05).Conclusion Although the operation time of RH procedure with preservation of pelvic autonomic nerves is longer in patients with stage I cervical cancer,it is beneficial to promote the postoperative intestinal function recovery of patients,and has a small impact on bladder function,which can reduce the incidence of postoperative complications.
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