腹腔镜下宫颈癌根治术47例麻醉分析

目的探讨腹腔镜下宫颈癌子宫广泛切除加盆腔淋巴结清扫术的麻醉管理。方法回顾47例宫颈癌经腹腔镜下子宫广泛切除加盆腔淋巴结清扫术的全身麻醉资料,对生命体征改变、手术时间、麻醉时间、拔管时间、术中术后并发症发生情况进行分析。结果术中各时点SBP、DBP、HR、SpO2、PetCO2与麻醉前比较,差异无统计学意义(P>0.05);平均手术时间(201±18.8)min,平均麻醉时间(213±20.1)min,平均拔管时间(9.3±4.0)min。术中5例(10.6%)患者并发了皮下气肿,8例(17.0%)患者并发了少尿,所有患者术后随访均无呼吸循环系统并发症。结论全麻下经腹腔镜子宫广泛切除加盆腔淋巴结清扫手术时患者生命体征平稳,但麻醉要求较高,应合理选择麻醉药物和机械通气参数,加强监测,预防术中并发症。

Anesthetic analysis of laparoscopic radical surgery of cervical cancer in 47 patients

Objective To review the ansethesia of laparoscopic radical hysterectomy with pelvic lymphadenectomy in patients with cervical cancer.Methods To observe and analyse the general anesthetic data in 47 patients with cervical cancer who consented to undergo radical hysterectomy and pelvic lymphadenectomy.Subcutaneous emphysema and Oliguria were reported in 5(10.6%) patients and 8(17.0%) patients respectively.Results There were no clinical differences between different time points and baseline in SBP,DBP,HR,SpO2,PetCO2.The average operation time was(201±18.8)min.The average anesthesia time was(213±20.1)min.The average extubation time was(9.3±4.0)min.Conclusion Laparoscopic radical hysterectomy and pelvic lymphadenectomy can be successfully completed with general anesthesia.But we should select right anesthetic and machanical ventilation to maintain stable vital signs and decrease the complications.