[Nerve-sparing radical hysterectomy and radical hysterectomy: a retrospective study].
OBJECTIVE
To compare Piver radical hysterectomy (RH) with nerve-sparing radical hysterectomy (NSRH) for cervical cancer patients in terms of postoperative physiology of pelvic autonomic nerve and perioperative complications.


METHODS
Ninety-three consecutive patients with invasive cervical cancer underwent RH (69 cases) or NSRH (24 cases) from March 2005 to March 2006 at Fudan University Cancer Hospital. The postoperative function of bladder, bowel and sexual function and perioperative morbidity were assessed.


RESULTS
Compared with patients received RH, patients underwent NSRH presented a significantly prompter recovery of bladder function (8.7 vs. 14.8 days, P < 0.01) and bowel function (2.9 vs. 3.2 days, P < 0.01). However, there were not significant difference in terms of operative time (146.7 vs. 143.3 minutes, P > 0.05), estimated blood loss (441.7 vs. 565.9 ml, P > 0.05) and hospital stay (10.21 vs. 10.19 days, P > 0.05). No positive surgical margin was found in both groups. No surgery complication was found in NSRH group, while there were 1 case presented the infection of lymphocyst and 1 case presented intestinal obstruction in RH group. After following up postoperative 6 months, the patients received NSRH had a higher rate of satisfaction at sex activity than those received RH (29% vs. 9%, P = 0.042).


CONCLUSIONS
NSRH is safe and feasible surgical management for cervical cancer patients, which would improved the physiology of pelvic autonomic nerve postoperatively.
Ju
Xing-zhu
XZ
Department of Gynecologic Oncology, Fudan University Cancer Hospital, Shanghai 200032, China.
Li
Zi-ting
ZT
Yang
Hui-juan
HJ
Wu
Xiao-hua
XH
D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007001:Hypogastric Plexus / Q000033:anatomy & histology / Q000601:surgery*; D007044:Hysterectomy / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging; D010388:Pelvis / Q000294:innervation* / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control*; D012189:Retrospective Studies; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000294:innervation; D001745:Urinary Bladder Diseases / Q000209:etiology / Q000517:prevention & control; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*