[1]于鹃鹏 秦珊珊 郁胜胜 高迎春**.腹腔镜下子宫深静脉入路C型宫颈癌根治术的疗效[J].中国微创外科杂志,2024,01(1):45-49.
　Yu Juanpeng,Qin Shanshan,Yu Shengsheng,et al.Curative Effect of Laparoscopic Ctype Radical Hysterectomy Through Deep Uterine Vein Approach for Cervical Cancer[J].Chinese Journal of Minimally Invasive Surgery,2024,01(1):45-49.
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腹腔镜下子宫深静脉入路C型宫颈癌根治术的疗效()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2024年1期
页码:
45-49
栏目:
临床研究
出版日期:
2024-01-25

文章信息/Info

Title:
Curative Effect of Laparoscopic Ctype Radical Hysterectomy Through Deep Uterine Vein Approach for Cervical Cancer
作者:
于鹃鹏 秦珊珊 郁胜胜 高迎春**
(南京医科大学附属淮安第一医院妇科，淮安223300)
Author(s):
Yu Juanpeng;  Qin Shanshan;  Yu Shengsheng;  et al.
Department of Gynecology, Huai’ an First People’ s Hospital Affiliated to Nanjing Medical University, Huai’ an 223300, China
关键词:
子宫深静脉; 宫颈癌; 腹腔镜; C型子宫切除术
Keywords:
Deep uterine vein; Cervical cancer; Laparoscope; Ctype hysterectomy
文献标志码:
A
摘要:
目的探讨腹腔镜下子宫深静脉入路C型宫颈癌根治术治疗宫颈癌的疗效。方法2021年1月～2022年12月我院采用腹腔镜下子宫深静脉入路C型宫颈癌根治术+盆腔淋巴结清扫术±腹主动脉旁淋巴结切除术治疗58例宫颈癌。建立通道后，在阔韧带后叶定位输尿管，分离输尿管后暴露子宫动脉，沿子宫动静脉背侧分离结缔组织，逐渐暴露子宫深静脉。将包绕子宫深静脉周围的宫旁淋巴结切除，单独送病理检查。继续向膀胱方向追踪子宫深静脉，游离其属支，血管夹双重夹闭。结果手术时间(307.2±54.1)min，出血量中位数50(20，100)ml，淋巴结清扫(26.3±6.9)枚，留置导尿管时间(20.6±4.7)d，拔除腹腔引流管时间(9.4±4.1)d，肛门排气时间(36.7±4.1)h，抗生素使用时间(9.2±4.2)d，住院时间(134±2.6)d。术后并发症发生率3.4%(2/58)。术后病理分期升级率为22.4%(13/58)。术后欧洲癌症研究治疗组织(European Organization of Research and Treatment of Cancer, EORTC)生活质量核心30问卷(Quality of Life QuestionnaireCore 30，QLQC30)评分较术前显著升高［(78.6±10.7)分 vs.(47.1±7.6)分，t=17.177, P=0.000］。58例随访4～25个月，(13.5±6.2)月,无复发。结论腹腔镜下子宫深静脉入路C型宫颈癌根治术疗效确切、安全可靠。
Abstract:
ObjectiveTo investigate the efficacy of laparoscopic Ctype radical hysterectomy through deep uterine vein approach for the treatment of cervical cancer.MethodsFrom 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.ResultsThe 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.ConclusionLaparoscopic Ctype radical hysterectomy through deep uterine vein approach is effective, safe, and reliable.

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备注/Memo

备注/Memo:
基金项目：徐州医科大学附属医院科技发展基金项目面上项目（20210035）**通讯作者，Email：gych691222@163.com
更新日期/Last Update: 2024-04-15