Total laparoscopic radical hysterectomy for treatment of uterine malignant tumors: Analysis of short-term therapeutic efficacy |
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Authors: | Yi Shen Zehua Wang |
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Institution: | Department of Obstetrics and Gynecology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China |
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Abstract: | To investigate the efficacy and the clinical value of total laparoscopic radical hysterectomy (TLRH) for the treatment of
uterine malignancies, we performed a retrospective review of 87 patients with cervical cancer and 23 patients with endometrial
carcinoma who underwent TLRH at Union hospital between June 2008 and September 2009. Data collected included operative time,
estimated blood loss, lymph node count, time for the recovery of normal temperature and time to resumption of normal bladder
function, intraoperative and postoperative complications. The procedure was completed laparoscopically in 108 patients. Two
patients were converted to laparotomy due to common iliac vein injury. The mean overall operative time was 200.6±38.6 min;
the mean operative blood loss was 280.5±128.3 mL; he mean number of pelvic lymph nodes that were resected wa26. 0±5.8. The
time for recovery of normal temperature and the normal bladder function after the operation was 5.8±2.9 d and 15.2±4.3 d.
There were 2 (1.8%) common iliac vein injuries during the operation and 10 (9.1%) bladder retentions post operation. It was
concluded that TLRH is feasible, minimally invasive and provides promise for the treatment of uterine malignancies. |
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Keywords: | laparoscopy radical hysterectomy uterine malignancy |
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