Akusherstvo i ginekologiia · 2012
[The impact of nerve-sparing radical hysterectomy in the surgery of cervical cancer patients].
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Kornovski Y, Ismail E
Аннотация
OBJECTIVE: To study the feasibility of the nerve-sparing radical hysterectomy (NSRHT) stage by stage in cervical cancer and its impact on the blood loss, the duration of RH as well as on bladder dysfunction in irradiated and non-irradiated patients.
MATERIAL (PATIENTS): Between XI.2002 and IX.2011 294 consecutive patients with invasive cervical cancer (IB1, IB2, IIB) were operated on. The performed surgery was radical hysterectomy class III and pelvic lymphadenectomy 77 patients were submitted to NSRH (26.19%)--56 patients--non-irradiated (gr. 1) and 21--after preoperative radiotherapy (gr.2) CONCLUSIONS: NSRH is feasible technique in stages IB1, I82, IIB before or after radiotherapy. NSRH doesn't compromise the radically of the RH. Preoperative radiotherapy doesn't change the benefits of NSRH. The latter is associated with minimal blood loss during RH (280 ml vs 600, p < 0.005), fast recovery to spontaneous voiding (16th day vs 24, p < 0.005) and is little more time--consumpting procedure (75 min. vs 60 min., NS).
MATERIAL (PATIENTS): Between XI.2002 and IX.2011 294 consecutive patients with invasive cervical cancer (IB1, IB2, IIB) were operated on. The performed surgery was radical hysterectomy class III and pelvic lymphadenectomy 77 patients were submitted to NSRH (26.19%)--56 patients--non-irradiated (gr. 1) and 21--after preoperative radiotherapy (gr.2) CONCLUSIONS: NSRH is feasible technique in stages IB1, I82, IIB before or after radiotherapy. NSRH doesn't compromise the radically of the RH. Preoperative radiotherapy doesn't change the benefits of NSRH. The latter is associated with minimal blood loss during RH (280 ml vs 600, p < 0.005), fast recovery to spontaneous voiding (16th day vs 24, p < 0.005) and is little more time--consumpting procedure (75 min. vs 60 min., NS).