Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (6): 76-80.doi: 10.6040/j.issn.1671-7554.0.2021.0328

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Clinical efficacy of laparoscopic radical hysterectomy without lift and tumor spillage in 25 cases of early-stage cervical cancer

WANG Lu, ZHAO Xinrui, ZHU Lin   

  1. Department of Gynecology, The Second Hospital of Shandong University, Jinan 250033, China
  • Published:2021-06-10

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Abstract: Objective To explore the feasibility and clinical efficacy of laparoscopic hysterectomy without lift and tumor spillage for cervical cancer at early stage. Methods A total of 25 patients with cervical cancer who received laparoscopic hysterectomy without lift and tumor spillage at The Second Hospital of Shandong University during Mar. 2020 and Jan. 2021 were enrolled. During the surgery, the neoplasia was sealed via the vagina. The lymph nodes were bagged immediately after dissection, sutures were pulled to lift the uterus, the vaginal end was ligated and occluded, and the uterus was bagged immediately after hysterectomy to ensure no tumor spillage. Results All 25 patients successfully completed laparoscopic hysterectomy without conversion to open surgery, and there were no ureteral or intestinal injuries. The average operation time was(205.3±18.7)min, and average intraoperative bleeding volume was(79.28±20.16)mL. The widths of the excised left and right parauterine tissues were(2.8±0.6)cm and(2.9±0.4)cm, respectively. The lengths of excised main ligament, uterosacral ligament and vagina were(2.9±0.35)cm,(3.18±0.36)cm, and(3.2±0.21)cm, respectively. The number of dissected pelvic lymph nodes was(22.5±4.3). No lymph node metastasis was observed. The margins of hysterectomy and vaginectomy were negative. The mean time of postoperative ventilation was(34.18±8.67)h, and the catheter removal time was(11.05±3.67)d. Conclusion This surgical approach is safe and feasible, which ensures not only enough resection range, but also no tumor spillage during operation.

Key words: Cervical carcinoma, Laparoscope, Without lift, Non-tumor spillage, Hysterectomy

CLC Number: 

  • R737.33
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