Clinical efficacy observation of the pelvic autonomic nerve-sparing under laparoscopy in radical hysterectomy

Objective: To observe the clinical efficacy of the pelvic autonomic nerve-sparing under laparoscopy in radical hysterectomy.Methods: Eighty-eight cervical cancer patients treated with laparoscopic radical hysterectomy were randomly divided into the observation group and control group(44 cases each group).The control group and observation group were treated with the conventional radical hysterectomy and laparoscopic pelvic autonomic nerve-sparing radical hysterectomy,respectively.The operation time,intraoperative bleeding volume,vaginal and uterine resection length,lymph dissection number,postoperative pulling urinary catheter time,postoperative residual urine volume less than 100 mL time,and postoperative anal exhaust and defecation time between two groups were compared.Results: No complications in two groups were found after operation.The operation time in observation group was longer than that in control group(P<0.01).The postoperative pulling urinary catheter time,postoperative residual urine volume less than 100 mL time,and postoperative anal exhaust and defecation time in observation group were significantly shorter those in control group(P<0.01).Conclusions: The pelvic autonomic nerve-sparing under laparoscopy in radical hysterectomy in the treatment of early cervical cancer is safe and highly efficient,which can help to recover the function of bladder and rectum,and is worthy of promotion in clinic.