Kudo R, Ito E, Kusanagi T, Hashimoto M
Obstet Gynecol. 1984 Dec;64(6):810-5.
Thirty-five patients with stage Ia epidermoid microinvasive carcinoma of the cervix were treated surgically by vaginal semiradical hysterectomy. The primary features of this new surgical procedure are the removal of an approximately 1-cm portion of vaginal cuff, partial resection of the vesico-uterine ligament for isolation of the ureter, and resection of approximately 2 cm of parametrial tissue. The extent of resection is almost the same as that of the abdominal modified radical hysterectomy. Operation time and blood loss were almost the same as those for simple hysterectomy. No postoperative complications were observed. From these results it is concluded that the method is an adequate, safe, and low-risk operative therapy for patients with microinvasive carcinoma of the cervix.
35例宫颈Ia期表皮样微浸润癌患者接受了经阴道次广泛子宫切除术的手术治疗。这种新手术方法的主要特点是切除约1厘米的阴道断端、部分切除膀胱子宫韧带以游离输尿管，以及切除约2厘米的宫旁组织。切除范围与腹部改良根治性子宫切除术几乎相同。手术时间和失血量与单纯子宫切除术几乎相同。未观察到术后并发症。从这些结果可以得出结论，该方法对于宫颈微浸润癌患者是一种合适、安全且低风险的手术治疗方法。
