Short-term efficacy of laparoscopic type C radical hysterectomy by deep uterine vein approach for treatment of cervical cancer

• Published in: African journal of reproductive health Vol. 28; no. 12; pp. 73 - 81
• Main Authors: Yu, Juanpeng, Yu, Ting, Yu, Shengsheng, Gao, Yingchun
• Format: Journal Article
• Language: English
• Published: Women's Health and Action Research Centre (WHARC) 01.12.2024
• Subjects: Health aspects; Hysterectomy; Laparoscopic surgery; Laparoscopy; Women
• ISSN: 1118-4841
• DOI: 10.29063/ajrh2024/v28i12.8

This was an original research. The objective of the study was to investigate the efficacy of laparoscopic type C radical hysterectomy by deep uterine vein approach in treating cervical cancer. Two hundred cases of cervical cancer were allocated into control group and intervention group. The control group underwent pelvic lymph node dissection + para-aortic lymph node resection followed by extensive hysterectomy. The intervention group underwent laparoscopic type C radical hysterectomy by deep uterine vein approach + pelvic lymph node dissection ± para-aortic lymph node resection. In comparison with the control group, the intervention group had significantly lower amount of blood loss, longer time of indwelling catheter, shorter time of abdominal drainage tube removal and anal exhaust, lower incidence of postoperative complications, higher rate of pathological stage upgrading, and higher quality of life score, and had lower recurrence rate. We conclude that laparoscopic C-type radical hysterectomy by deep uterine vein approach is effective, safe and reliable, and can promote patients quality of life, which is valuable for clinical use.