免举宫技术应用于早期宫颈癌腹腔镜手术的可行性分析  

Feasibility analysis of laparoscopic surgery without uterine manipulator for early uterine cervical cancer

作　　者：赵犁梅 王娇杨 朱炳鸿 孙丙辉[2] 王小元 ZHAO Li-mei;WANG Jiao-yang;ZHU Bing-hong(Cheeloo College of Medicine,Shandong University,Jinan 250012,China;Department of Obstetrics and Gynecology,the First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital;Shandong First Medical University)

机构地区：[1]山东大学齐鲁医学院,山东济南250012 [2]山东第一医科大学第一附属医院山东省千佛山医院妇产科 [3]山东第一医科大学

出　　处：《腹腔镜外科杂志》2022年第3期210-214,共5页Journal of Laparoscopic Surgery

摘　　要：目的:探讨早期宫颈癌腹腔镜手术中应用免举宫技术的可行性。方法:回顾分析2015~2021年行常规腹腔镜手术(对照组,n=26)与应用免举宫技术的腹腔镜手术(实验组,n=38)治疗的早期宫颈癌患者的临床资料,比较两组手术时间、术中出血量、淋巴结切除数量、切除阴道壁长度、术后拔尿管时间、排气时间及手术并发症等相关指标。结果:实验组与对照组的手术时间[(417.79±11.28)min vs.(402.42±12.12)min]、术中出血量[175.00(100.00,200.00)mL vs.200.00(100.00,225.00)mL]、淋巴结切除数量[(31.39±1.83)枚vs.(28.81±2.04)枚]、阴道壁切除长度[(2.47±0.13)cm vs.(2.28±0.20)cm]、术后拔除尿管时间[(24.55±1.90)d vs.(20.12±1.10)d]、术后排气时间[(1.58±0.10)d vs.(1.69±0.11)d]及手术并发症[(2/38)vs.(1/26)]差异均无统计学意义(P>0.05),但实验组与对照组术后住院时间[(11.87±0.51)d vs.(16.19±1.04)d]差异有统计学意义(P<0.05)。结论:早期宫颈癌腹腔镜手术应用免举宫技术不增加手术并发症及手术难度,是安全、可行的。Objective:To explore the feasibility of laparoscopic surgery without uterine manipulator for early uterine cervical cancer.Methods:Retrospective analysis was performed on the clinical data of patients who underwent traditional laparoscopic surgery(control group,n=26)or laparoscopic surgery without uterine manipulator(experimental group,n=38)for early uterine cervical cancer from 2015 to 2021.The operative time,intraoperative blood loss,number of lymph nodes removed,length of vaginal wall removed,time of catheter extraction,exhaust time and surgical complications were compared between the two groups.Results:There were no statistically significant differences in operative time[(417.79±11.28)min vs.(402.42±12.12)min],intraoperative blood loss[175.00(100.00,200.00)mL vs.200.00(100.00,225.00)mL],number of lymph nodes removed[(31.39±1.83)vs.(28.81±2.04)],length of vaginal wall removed[(2.47±0.13)cm vs.(2.28±0.20)cm],time of catheter extraction[(24.55±1.90)d vs.(20.12±1.10)d],exhaust time[(1.58±0.10)d vs.(1.69±0.11)d]and surgical complications[(2/38)vs.(1/26)]between the experimental group and the control group(P>0.05),but there was statistically significant difference in postoperative hospital stay[(11.87±0.51)d vs.(16.19±1.04)d]between the experimental group and the control group(P<0.05).Conclusions:The laparoscopic surgery without uterine manipulator for early uterine cervical cancer is safe and effective,does not increase the surgical complication and operation difficulty.

关 键 词：宫颈肿瘤 腹腔镜检查 免举宫 

分 类 号：R737.33[医药卫生—肿瘤]