Total Laparoscopic Radical Hysterectomy for Treatment of Uterine Malignant Tumors: Analysis of Short-term Therapeutic Efficacy
10.1007/s11596-010-0360-5
- Author:
SHEN YI
1
;
WANG ZEHUA
Author Information
1. Department of Obstetrics and Gynecology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China
- Keywords:
laparoscopy;
radical hysterectomy;
uterine malignancy
- From:
Journal of Huazhong University of Science and Technology (Medical Sciences)
2010;30(3):375-378
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the efficacy and the clinical value of total laparoscopic radical hysterectomy (TLRH)for the treatment of uterine malignancies,we performed a retrospective review of 87patients with cervical cancer and 23 patients with endometrial carcinoma who underwent TLRH at Union hospital between June 2008 and September 2009.Data collected included operative time,estimatedblood loss,lymph node count,time for the recovery of normal temperature and time to resumption of normal bladder function,intraoperative and postoperative complications.The procedure was completed laparoscopically in 108 patients.Two patients were converted to laparotomy due to common iliac vein injury.The mean overall operative time was 200.6±38.6 min; the mean operative blood loss was 280.5±128.3 mL; the mean number of pelvic lymph nodes that were resected was26.0a:5.8.The time for recovery of normal temperature and the normal bladder function after the operation was 5.8±2.9 d and 15.2±4.3 d.There were 2(1.8%)common iliac vein injuries during the operationand 10(9.1%)bladder retentions post operation.It was concluded that TLRH is feasible,minimally invasive and provides promise for the treatment of uterine malignancies.
