Effect of laparoscopic nerve-sparing radical hysterectomy on pelvic floor functions: report of 138 cervical cancer cases

Na Zhao; Lili Cao; Luxue Fang; Huicheng Xu

doi:10.16016/j.1000-5404.201611035

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Effect of laparoscopic nerve-sparing radical hysterectomy on pelvic floor functions: report of 138 cervical cancer cases

更新时间：2026-01-09

- Effect of laparoscopic nerve-sparing radical hysterectomy on pelvic floor functions: report of 138 cervical cancer cases
- Journal of Third Military Medical University Vol. 39, Issue 7, Pages: 691-695(2017)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201611035
  CLC：
- Received：04 November 2016，
  
  Published：2017-07
- 稿件说明：
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Na Zhao, Lili Cao, Luxue Fang, et al. Effect of laparoscopic nerve-sparing radical hysterectomy on pelvic floor functions: report of 138 cervical cancer cases[J]. Journal of Third Military Medical University, 2017, 39(7): 691-695.
DOI：

Na Zhao, Lili Cao, Luxue Fang, et al. Effect of laparoscopic nerve-sparing radical hysterectomy on pelvic floor functions: report of 138 cervical cancer cases[J]. Journal of Third Military Medical University, 2017, 39(7): 691-695. DOI： 10.16016/j.1000-5404.201611035.

摘要

Abstract

Objective

To compare the pelvic floor functions in females undergoing laparoscopic nerve-sparing radical hysterectomy (LNSRH) and conventional laparoscopic radical hysterectomy (LRH) for cervical cancer

and determine the effect of LNSRH on the functions.

Methods

A retrospective cohort pilot study was carried out to compare the pelvic floor functions of the patients undergoing LNSRH (

=138

treatment group) with those of LRH (

=138

control group). All these patients were in FIGO stage Ⅰb1~Ⅱa2 and underwent the surgeries in our department from January 2012 to December 2014. The operation time

blood loss

numbers of resected pelvic lymph nodes

length of vagina resection

length of hospital stay and incidence of complications were collected and compared between the 2 groups. The postoperative functions of bladder and rectum

and their quality of life were assessed.

Results

All the patients were performed successfully. No significant differences were observed in terms of mean operation time

blood loss

numbers of resected pelvic lymph nodes

length of vagina resection

mortality and recurrence rates between the 2 groups (

0.05). The length of hospital stay and du

rations for anal exhaust and defecation were shorter

and incidences of urinary (34.8%

71.0%) and digestive complications (21.7%

49.3%) were lower in the LNSRH group than the other group (

0.05). The former group also had notably shorter time of indwelling catheter (mainly 7~14

15 d

0.05)

and higher postoperative scores of the Incontinence Quality of Life Questionnaire (I-QOL) and the Pelvic Floor Impact Questionnaire 7 (PFIQ-7) when compared with the LRH group.

Conclusion

LNSRH is a sound approach in treatment of early-stage cervical cancer

which can protect postoperative pelvic floor functions (bladder and rectum)

and is helpful to improve the quality of life for the patients.

关键词

Keywords

references

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