Curative Effect of Laparoscopic C-type Radical Hysterectomy Through Deep Uterine Vein Approach for Cervical Cancer
10.3969/j.issn.1009-6604.2024.01.009
- VernacularTitle:腹腔镜下子宫深静脉入路C型宫颈癌根治术的疗效
- Author:
Juanpeng YU
1
;
Shanshan QIN
;
Shengsheng YU
;
Yingchun GAO
Author Information
1. 南京医科大学附属淮安第一医院妇科,淮安 223300
- Keywords:
Deep uterine vein;
Cervical cancer;
Laparoscope;
C-type hysterectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(1):45-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of laparoscopic C-type radical hysterectomy through deep uterine vein approach for the treatment of cervical cancer.Methods From January 2021 to December 2022,58 cases of cervical cancer were treated with deep uterine vein approach laparoscopic C-type radical hysterectomy in our hospital.After establishing the operation channel,the ureter was identified in the posterior lobe of the broad ligament,and the uterine artery was exposed after separating the ureter.The connective tissue was separated along the dorsal side of the uterine artery to gradually expose the deep uterine vein.The parametrial lymph nodes surrounding the deep uterine vein were resected and sent to pathology alone.The deep uterine vein was continuously tracked towards the bladder,and its branches were freed.The deep uterine vein and its tributaries were double clipped by vascular clamp.Results The operation time was(307.2±54.1)min,the median bleeding volume was 50(20,100)ml,the lymph node dissection number was(26.3±6.9),the indwelling catheter time was(20.6±4.7)d,the time to removal of abdominal drainage tube was(9.4±4.1)d,the anal exhaust time was(36.7±4.1)h,the antibiotics use time was(9.2±4.2)d,and the hospital stay was(13.4±2.6)d.The postoperative complication rate was 3.4%(2/58),and the postoperative pathological staging upgrade rate was 22.4%(13/58).The postoperative European Organization of Research and Treatment of Cancer(EORTC)Quality of Life Questionnaire-Core 30(QLQ-C30)score was significantly higher than before surgery[(78.6±10.7)points vs.(47.1±7.6)points,t = 17.177,P = 0.000].All the 58 cases were followed up for 4-25 months(mean,13.5±6.2 months),with no recurrence.Conclusion Laparoscopic C-type radical hysterectomy through deep uterine vein approach is effective,safe,and reliable.
