الفهرس | Only 14 pages are availabe for public view |
Abstract Cervical cancer is one of the leading gynecological malignancies with cancer related deaths in many countries worldwide. Type III radical hysterectomy with pelvic lymphadenectomy is considered to be the effective treatment for early-stage cervical cancer but with postoperative morbidity. The laparoscopic nerve sparing radical hysterectomy technique is considered a better technique to decrease the incidence of postoperative complications. Evaluation of the feasibility of laparoscopic nerve sparing radical hysterectomy as regard surgical outcome and postoperative bladder function.46 patients were enrolled into the study divided into two arms; first include 30 patients who underwent laparoscopic nerve sparing radical hysterectomy technique while the other included 16 patients who underwent laparoscopic conventional surgery. Significant better results were observed in terms of postoperative bladder function, the study reported a median duration of postoperative bladder catheterization 3.5 (3-5) days after LNSRH and 6(4-8.5) days after type C2 radical hysterectomy to achieve a PVR urine volume less than 100 ml (P=0.002). Laparoscopic identification and dissection of the pelvic autonomic nerves during NSRH is feasible for well-trained laparoscopic surgeons who have a good knowledge of the pelvic anatomy and this provides better functional outcome without affecting the oncological safety of the procedure, however we suggest the conduction of future prospective randomized controlled trials with a larger sample size to consolidate these results. |