宫颈癌的腹腔镜保留生育功能治疗

Laparoscopic fertility sparing management of cervical cancer.

作者信息

Facchini Chiara, Rapacchia Giuseppina, Montanari Giulia, Casadio Paolo, Pilu Gianluigi, Seracchioli Renato

机构信息

The Minimally Invasive Gynecological Surgery Unit, Department of Gynecology, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

Department of Obstetrics and Gynecology, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

出版信息

Int J Fertil Steril. 2014 Apr;8(1):91-4. Epub 2014 Mar 9.

PMID:24696772

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3973170/

Abstract

Fertility can be preserved after conservative cervical surgery. We report on a 29-year-old woman who was obese, para 0, and diagnosed with cervical insufficiency at the first trimester of current pregnancy due to a previous trachelectomy. She underwent laparoscopic transabdominal cervical cerclage (LTCC) for cervical cancer. The surgery was successful and she was discharged two days later. The patient underwent a caesarean section at 38 weeks of gestation. Laparoscopic surgery is a minimally invasive approach associated with less pain and faster recovery, feasible even in obese women.

摘要

保守性宫颈手术后生育能力可得以保留。我们报告一例29岁女性，她肥胖，未育，因既往宫颈切除术在本次妊娠孕早期被诊断为宫颈机能不全。她因宫颈癌接受了腹腔镜经腹宫颈环扎术（LTCC）。手术成功，两天后出院。患者在妊娠38周时接受了剖宫产。腹腔镜手术是一种微创方法，疼痛较轻且恢复较快，即使对肥胖女性也可行。