Application of laparoscopic type C2 hysterectomy using autogenous tissue lifting method in treatment of early-stage cervical cancer
LU Yingying
CHEN Guanmei
XU Huicheng
WANG Yinyin
CHEN Man
LEI Ling
Abstract：Objective To explore the safety and efficacy of laparoscopic type C2 hysterectomy using autoge-nous tissue lifting method in treatment of early-stage cervical cancer.Methods The clinical data of 43 patients with early-stage cervical cancer who underwent laparoscopic type C2 hysterectomy using autogenous tissue lifting method in the Department of Gynecology of People's Hospital of Anshun City from January 2020 to September 2022 were retro-spectively analyzed.The duration of operation,amount of intraoperative blood loss,length of vagina resected,number of lymph nodes resected,intraoperative and postoperative complications,time of exhaust,length of hospital stay,time of catheter extraction,results of postoperative pathological examination,postoperative adjuvant treatment and postoperative follow-up survival outcome were recorded.Results Among the 43 patients,there were 15 patients with International Federation of Gynecology and Obstetrics(FIGO)stage ⅠB1,15 patients with FIGO stage ⅠB2,and 13 patients with FIGO stage ⅡA1.Among the 43 patients,37 patients suffered from squamous cell carcinoma,and 5 patients suffered from adenocarcinoma,and 1 patient suffered from adeno-squamous carcinoma.The operation time was(186.28±23.40)minutes and the intraoperative blood loss was(167.44±109.52)milliliters.Intraoperative ureteral injury occurred in 1 case and postoperative lymphorrhea occurred in 2 cases.The length of vagina resected was(3.08±0.41)centimeters,and the number of lymph nodes resected was(26.98±10.48)pieces.Twenty patients also underwent para-aortic lymph node dissection.After the operation,the patients were followed up until March 31,2024,and it was found that 1 patient relapsed 16 months after the operation and no deaths occurred with a cumulative overall survival(OS)rate of 100.00％and a cumulative progression-free survival(PFS)rate of 97.06％.Conclusion Application of laparoscopic type C2 hyster-ectomy using autogenous tissue lifting method is safe,effective,simple and easy to operate in treatment of early-stage cervical cancer.It can better follow the principle of no tumor and has a good prognosis in oncology,and is worthy of clinical promotion and application.
Keywords：Cervical cancerLaparoscopic type C2 hysterectomyLift-free uterusLifting methodProtective vaginal detachment
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 617-622 )