Puntambekar Shailesh P, Lawande Akhil, Puntambekar Seema, Joshi Saurabh, Kumar Sanjay, Kenawadekar Rahul
Galaxy Care Laparoscopy Institute, Pune, India.
Galaxy Care Laparoscopy Institute, Pune, India.
J Minim Invasive Gynecol. 2014 Sep-Oct;21(5):732. doi: 10.1016/j.jmig.2014.03.020. Epub 2014 Apr 22.
To evaluate the technical feasibility of nerve-sparing radical hysterectomy performed laparoscopically.
Thirty-five women with cervical cancer stage Ia1 or Ib1.
All patients underwent laparoscopic nerve-sparing hysterectomy.
Oncologic results were comparable to those of conventional laparoscopic radical hysterectomy. There was complete recovery of bladder function after removal of the Foley catheter. Results of urodynamic studies at 3 weeks after surgery were normal.
Oncologic and functional results are comparable to those of conventional laparoscopic radical hysterectomy. Magnification enabled by laparoscopy is helpful in better dissection and preservation of nerve anatomy.
评估腹腔镜下保留神经的根治性子宫切除术的技术可行性。
35例Ia1期或Ib1期宫颈癌女性。
所有患者均接受腹腔镜下保留神经的子宫切除术。
肿瘤学结果与传统腹腔镜根治性子宫切除术相当。拔除导尿管后膀胱功能完全恢复。术后3周尿动力学研究结果正常。
肿瘤学和功能结果与传统腹腔镜根治性子宫切除术相当。腹腔镜提供的放大作用有助于更好地解剖和保留神经结构。