Clinical value of modified laparoscopic radical hysterectomy in surgical treatment of cervical cancer
Objective To explore the clinical value of modified laparoscopic radical hysterectomy in surgical treatment of cervical cancer.Methods The clinical data of 90 patients who underwent early-stage cervical cancer and received cervical cancer radical resection in our hospital from January 2021 to December 2022 were retrospectively analyzed,which underwent modified laparoscopic radical hysterectomy with suturing vagina to block the cervix without lifting uterine manipulator in the laparoscopic group(42 cases),and traditional open radical hysterectomy in open group(48 cases).Results All patients'surgeries were completed.There were no statistical difference in the postoperative hospital stays,blood transfusion posibilaty,or hemoglobin reduction on the first and second day between the two groups(P＞0.05).The risk of poor healing of abdominal incision in the laparoscoic group was lower than open group(P＜0.05).There was no statistical difference in the ureteral leakage.Intestinal obstruction,lymphorrhagia,pelvic infection and removal time of urinary catheter between the two groups(P＞0.05).The rate of removal of the urinary catheter within 28 days in the laparoscopic group was higher than open group(P＜0.05),and the positive rate of vascular cancer thrombus was lower than open group(P＜0.05).Conclusions Laparoscopic radical resection which is cervix blockade by suturing the vagina without lifting the uterine manipulator is safe and feasible and can be one of the primary surgical treatments for early cervical cancer patients.
万方数据
维普
