腹腔镜广泛子宫切除及盆腔淋巴结清扫术的临床体会

目的:总结腹腔镜广泛子宫切除及盆腔淋巴结清扫术的手术经验及并发症的预防。方法:回顾分析2010年3月至2011年6月为32例患者施行腹腔镜广泛子宫切除及盆腔淋巴结清扫术的临床资料。结果:32例患者中,1例术后9 d发生膀胱阴道瘘(迟发性电损伤所致);1例术毕查看尿袋,见气体充盈张力较大,证实膀胱损伤;余30例手术效果满意。结论:腹腔镜广泛子宫切除及盆腔淋巴结清扫术出血少,并发症少,术后康复快,安全可行,充分体现了妇科领域微创手术的优势。

The clinical analysis of laparoscopic hysterectomy and lymphadenectomy

Objective:To summarize the experience of hysterectomy and lymphadenectomy under laparscopic and the prevention of the complication.Methods:We reviewed and analyzed the clinical data of 32 patients who underwent hysterectomy and lymphadenectomy under laparscopic from Mar.2010 to Jun.2011.Results:All of 32 cases,1 patient occurred ureterovaginal fistula(cause by tardive electrical injury),in the end of operation 1 patient was confirmed that his bladder was injured because the urine bag was full of air and had big tension.The rest of 30 cases were satisfacted with surgical results.Conclusions:Hysterectomy and lymphadenectomy under laparscopic use less time,no more bleeding,fewer complication,postoperative recovery faster than normal,it is feasibility of hysterectomy and lymphadenectomy under laparscopic,it is advantage of microtrauma laparscopic in the area of gynecology.