Nerve-Sparing Radical Hysterectomy Made Easy by Laparoscopy

摘要

Study Objective: To evaluate the technical feasibility of nerve-sparing radical hysterectomy performed laparoscopically. Patients: Thirty-five women with cervical cancer stage Ia1 or Ib1. Interventions: All patients underwent laparoscopic nerve-sparing hysterectomy. Measurements and Main Results: Oncologic results were comparable to those of conventional laparoscopic radical hysterectomy. There was complete recovery of bladder function after removal of the Foley catheter. Results of urodynamic studies at 3weeks after surgery were normal. Conclusion: Oncologic and functional results are comparable to those of conventional laparoscopic radical hysterectomy. Magnification enabled by laparoscopy is helpful in better dissection and preservation of nerve anatomy.