腹腔镜根治性宫颈切除术联合盆腔淋巴结清扫术治疗早期宫颈癌6例报告

目的 探讨腹腔镜根治性宫颈切除术联合盆腔淋巴结清扫术治疗早期宫颈癌的可行性。方法 2003年4月～2005年4月，我院对要求保留子宫的6例早期宫颈癌先行腹腔镜下盆腔淋巴结清扫术，若冰冻病理回报阴性，在不离断子宫血管及圆韧带的情况下，游离输尿管，切断主韧带2cm，然后经阴道横断子宫颈及2cm阴道。结果 手术时间75～150min，平均120min。术中出血量100～250ml，平均150ml。6例均无并发症，术后1个月恢复正常月经。6例随访5～24个月，平均14．6月，均未发现复发，1例怀孕13周。结论 早期宫颈癌行腹腔镜根治性宫颈切除联合盆腔淋巴结清扫术可行，可以保留患者的生殖功能。

Laparoscopic radical trachelectomy combined with laparoscopic pelvic lymphadenectomy in the treatment of early-stage cervical carcinoma: A report of 6 cases

Objective To evaluate the feasibility of laparoscopic radical trachelectomy combined with laparoscopic pelvic lymphadenectomy in the treatment of early-stage cervical carcinoma.Methods Six women with early-stage cervical carcinoma demanding the preservation of child-bearing potentials were treated from April 2003 to April 2005.Laparoscopic pelvic lymphadenectomy was carried out for frozen-section examinations.Once a negative finding was established,the ureter was divided and the cardinal ligament was severed,with the uterine arteries and the round ligament preserved.Then transvaginal procedures of amputation of cervix,resection of superior vagina 2 cm in length,and corpus-vagina anastomosis were performed.Results The operation time was 75~150 min(mean,120 min),and the estimated blood loss was 100~250 ml(mean,150 ml).No complications were found.Normal menses was recorded 1 month after operation.Follow-up for 5~24 months(mean,14.6 months) found no recurrence in all the 6 patients.Conclusions Laparoscopic radical trachelectomy combined with pelvic lymphadenectomy is a feasible method for early-stage cervical carcinoma in patients with child-bearing demands.