[Surgical pattern of radical hysterectomy and pelvic lymph node dissection for patients with cervical cancer].
OBJECTIVE
To investigate the probability of improving radical surgery to resect uterus thoroughly and to decrease various complications after the surgery.


METHODS
We compared the clinical effect of reformed radical hysterectomy for 79 patients with the effect of tradition radical hysterectomy for 60 patients. Reformed surgery had the following features: We firstly resected the uterus and then dissected the pelvic lymph node. Urinary bladder gap and rectum gap were opened. After exposing the route of ureter, we excised the uterus artery at the point between the ureter and the uterus artery. Cardinal ligament and uterosacral ligament were cut off by electric knives. The pelvic lymph node was dissected with a titanium pinch.


RESULTS
The average operation time and the time of keeping uterine pipe were shortened. Bleeding during the operation was reduced. No complication was observed. All patients were followed up for 11 to 20 months and no patient died. One patient recurred.


CONCLUSIONS
Reformed surgery can resect the uterus, dissect the pelvic lymph node thoroughly, and reduce various complications. The reformed surgery can not only ensure the curative effect, but also benefit patient's recovery and life quality.
Cao
Lan-qin
LQ
Department of Obsterics and Gynecology, Xiangya Hospital, Central South University, Changsha 410008, China. caolanqin@163.com
Li
Xin
X
Zhang
Yi
Y
Li
Xin-guo
XG
Zhang
Yu
Y
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D008875:Middle Aged; D002583:Uterine Cervical Neoplasms / Q000601:surgery*