Clinical Analysis Of64Cases Of Laparoscopic Radical Hysterectomy And Pelvic Lymphadenectomy For Cervical Cancer

Objective：To explore the feasibility and excellence and applied value of laparoscopicradical hysterectomy(LRH) and pelvic lymphadenectomy in the treatment of cervicalcancer.Methods：A retrospective analysis was made on64cases with stage Ia2～IIa cervicalcancer which accepted laparoscopic radical hysterectomy and pelvic lymphadenectomyfrom november2010to september2012. Some indexes were recorded,such as theoperative time, the amount of intraoperative blood loss, number of lymph nodesexcised,the operation complication, the time of postoperative indwelling catheter andexhaust,pathological result after operation,postoperative morbidity,average postoperativehospitalization days, the interval time of adjunctive therapy after surgery.Results：60cases operations were successfully performed under laparoscopy. Successrate was93.75%(60/64),4cases were converted to laparotomy, the converted tolaparotomy rate was6.25%(4/64),The mean operating time was172.42±39.34min, theamount of blood loss in operation was189.22±139.66ml,3cases were givenintraoperative blood transfusionthe(4.69%),amount of the excised lymph nodes was18.16±2.45,2cases of pelvic lymphatic positive,2cases of parametrial invasion,1casesof vascular invasion,all patients pathological result after surgical margins of parametrialinvasion and vagina were found no residual cancer tissues.1case of vascular injuryduring the operation, incidence rate was1.56%(1/64),1case of ureteral injury, incidence rate was1.56%(1/64),4case of urinary retention, incidence rate was6.25%(4/64),1case of ureteral obstruction, incidence rate1.56%(1/64),1case of ureteralvaginal fistula, incidence rate1.56%(1/64)．No subcutaneous emphysema, electricalburns,embolism,lymphocyst, abnormal of incision and other organ injury. the time ofpostoperative indwelling catheter was (13.56±2.8)d and exhaust (12±0.8)h, averagepostoperative hospitalization days (8.73±4.35)d,24cases of adjunctive therapy aftersurgery, the interval time of adjunctive therapy after surgery was(14.45±0.68)d, Followup for6-27months in64cases showed1case of recurrence and no death, recurrence ratewas1.56%(1/64), Survival rate was100%(64/64)．Conclusion: The laparoscopic radical hysterectomy and pelvic lymphadenectomy arefeasible and safe in treatment of Ia2～IIa cervical cancer, the indications andeffectually are the same as open operation, It is worth to extension in treating cervicalcancer with the advantages of less invasiveness,clear operative field, does not affectadjunctive therapy after surgery and reduced recovery time.