Application of laparoscopic pelvic lymphadenectomy assisted radical vaginal hysterectomy(LARVH) for malignant uterine neoplasm

Abstract

Objective To assess the feasibility and therapeutic efficacy of radical vaginal pan-hysterectomy or sub-total hysterectomy assisted by laparoscopic pelvic lymphadenectomy for malignant uterine neoplasm.Methods During the period of Oct.2006 to April 2010,radical vaginal pan-hysterectomy or sub-total hysterectomy assisted by laparoscopic pelvic lymphadenectomy were performed in 38 patients with cervical cancers and 6 patients with endometrial cancers.The intra-and post-operative data and follow-up data were collected and analyzed.Results LARVH was successfully performed in the total 44 patients,with average operating time of 219(146-460) minutes,average blood loss of 300(100~800) millimeters and clearance of average number of pelvic lymph nodes of 13(2~29).Injuries of urinary system occurred in 3 cases during operation.The first deflation occurred 2(1~2) days after operation,recovery time of bladder function was 12(8~38) days,postoperative length of stay was 14(9~32) days,and recurrences were found in 2 cases during the follow-up of 4 to 49 months.Conclusion It is worth extended application to treat the malignant uterine neoplasm with LARVH for satisfactory therapeutic efficacy,less injuries and shorter time of recovery.