腹腔镜辅助阴式根治性子宫切除术治疗宫颈癌的临床研究

目的探讨经阴式子宫广泛切除加腹腔镜手术治疗宫颈癌的可行性和临床效果。方法对38例宫颈癌患者行经阴道子宫广泛加腹腔镜盆腔淋巴结清除术。分析手术质量和术后恢复情况。结果38例患者均顺利完成手术，2例中转开腹，无并发症发生。清除盆腔淋巴结（21．4±2．2）个，手术时间（240±25．6）min，术中出血（340±40．2）ml，7例需要输血。术后肛门排气时问（2±0．26）d，膀胱功能恢复时间（10．5±1．3）d，术后住院时间（9．2±1．1）d。术后第一天均可下床活动。38例患者随访3—24个月，无一例死亡及复发。结论该术式损伤小、恢复快，能达到足够的切除范围，是目前治疗宫颈癌理想的术式。

Clinical study of laparoscopic pelvic lymphadenectomy assisted radical vaginal hysterectomy (LARVH) in the treatment of cervical cancer

Objective To discuss clinical effect and feasibility of laparoscopic pelvic lymphadendenectomy assisted radical vaginal hysterectomy (LARVH) in the treatment of cervical cancer. Methods Laparoscopic pelvic lymphadendenectomy assisted radical vaginal hysteretomy was performed in 38 patients with cervical cancer. The operative quality and postoperative recovery effects were analyzed. Results All 38 patients were successfully performed with LARVH and no complications. The radical vaginal hysteretomy were performed in all of patients, 21.4±2.2 pelvic lymph nodes were removed. The average duration of surgery was (240±25.6) min and the average hemorrhage was (340±40.2) ml. There were 7 patients who needed blood transfusion during operation. After operation, the mean time for passage of gas by anus was (2±0.26) days, and the mean recovery time of bladder function was (10.5±1.3) days. Patients were discharged after (9.2±1.1) days on average. 38 patients had no complication. Conclusions For the treatment of uterine neoplasm, LARVH decreased operative damage with more short recovery time, same operative extent as laparotomy. It is an ideal way to treat uterine neoplasm currently.