首页> 外文会议>Societa? Italiana di Endoscopia Ginecologica >Laparoscoplc Nerve-Sparing Radical Hysterectomy and Trachelectomy In Cervical Canceri Precise Dissection of the Vesico-Uterine Ligament
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Laparoscoplc Nerve-Sparing Radical Hysterectomy and Trachelectomy In Cervical Canceri Precise Dissection of the Vesico-Uterine Ligament

机译:Laparoscoplc神经 - 抑制宫颈癌宫颈癌的激进子宫切除术和调节术,精确解剖VISICO-子宫韧带

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In our hospital, over 200 cases of laparoscopic radical hysterectomy (LRH) and over 20 cases of laparoscopic radical trachelectomy (LRT) have been performed in the patients with cervical cancer since 1997. We have reported our early data of LRH in 84 patients and concluded that LRH is a safe and effective alternative to conventional abdominal radical hysterectomy (ARH)1. From the year 2006, we adopted nerve-sparing technique in LRH and LRT and performed this procedure in 6 patients successfully until now. Some surgeons have reported that autonomic nerve could be fully saved by abdominal radical hysterectomy, but in case of laparoscopy, it is very difficult to save the vesical branches of pelvic plexus in the posterior vesico-uterine ligament due to the technical difficulties. Currently, we succeeded the whole part of nerve-sparing procedure which preserves hypogastric nerve and vesical branch of pelvic splanchnic nerve by laparoscopy in 6 patients who underwent LRH or LRT for cervical cancer.
机译:在我们的医院,自1997年以来,在宫颈癌患者中进行了超过200例腹腔镜自由基子宫切除术(LRH)和超过20例腹腔镜自由基火影肌切除术(LRT)。我们已经报道了我们在84名患者中的LRH早期数据并得出结论LRH是常规腹部自由基子宫切除术(ARH)1的安全有效替代品。从2006年开始,我们在LRH和LRT中采用了神经制剂技术,并在6名患者中进行了此程序,直到现在。一些外科医生据报道,自主神经可以通过腹部自由基子宫切除术来完全拯救,但在腹腔镜检查的情况下,由于技术困难,在后部Vesico-uterine韧带中储存骨盆丛的血糖分支是非常困难的。目前,我们通过腹腔镜检查了腹腔镜检查了宫颈癌的6例腹腔镜检查了腹腔镜治疗腹腔镜的神经保存程序的整个神经保留程序。

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