Comparative Study of Laparoscopic QM-C1 Hysterectomy and Radical Hysterectomy
10.3969/j.issn.1009-6604.2025.01.003
- VernacularTitle:腹腔镜QM-C1型广泛性子宫切除术与腹腔镜广泛性子宫切除术的比较研究
- Author:
Hao HUANG
1
;
Yan JIAO
;
Fang HAN
Author Information
1. 华南理工大学附属第六医院 佛山市南海区人民医院妇科,佛山 528000;佛山复星禅诚医院妇科,佛山 528000
- Publication Type:Journal Article
- Keywords:
Cervical cancer;
Querleu-Morrow type C1;
Laparoscopic nerve-sparing radical hysterectomy;
Laparoscopic radical hysterectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(1):14-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the recovery of bladder and rectal functions after Querleu-Morrow type C1 laparoscopic nerve-sparing radical hysterectomy(LNSRH)and laparoscopic radical hysterectomy(LRH)in the management of early-stage cervical cancer,and summarize the experience of identifying and preserving pelvic autonomic nerves.Methods We retrospectively analyzed data from 200 patients undergoing LNSRH and 160 patients undergoing LRH for early cervical cancer between September 2009 and September 2023 in two hospitals.The postoperative recovery of bladder and rectal functions was compared between the two groups.Results The LNSRH group exhibited a significantly shorter hospital stay[(9.3±2.2)dvs.(11.0±2.4)d,t=-7.688,P＜0.001]and earlier removal of urinary catheters[(7.9±1.2)d vs.(15.7±2.6)d,t=-39.023,P＜0.001]as compared to the LRH group.Additionally,there was a lower incidence of urinary retention(5 cases vs.23 cases,x2=17.475,P＜0.001)and fewer symptoms of bladder dysfunction,such as nocturia,dysuria,urinary incontinence,and urgency(6 cases vs.30 cases,x2=24.500,P＜0.001)in the LNSRH group.Moreover,the time to recovery of intestinal function postoperatively was significantly reduced[(24.7±7.1)h vs.(32.4±4.4)h,t=-13.165,P＜0.001]in the LNSRH group.Conclusion LNSRH appears to significantly enhance the recovery of bladder and rectal functions and reduces the duration of hospital stay as compared to conventional LRH.
