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| Research progress in nerve-sparing radical hysterectomy for cervical cancer |
| GENG Yuning WU Yumei▲ |
| Beijing Obstetrics and Gynecology Hospital，Cappital Medical University，Beijing 100006，China |
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Abstract Early stage cervical cancer is mainly treated by radical hysterectomy and pelvic lymph node dissection. Extensive pelvic surgery can damage innervation of the pelvic organs resulting in urinary，rectal and sexual disorders. Nerve-sparing radical hysterectomy (NSRH) was introduced as one of the treatment option for cervical cancer patient suffer from postoperative complains. Substantial progress has been made in understanding the neuroanatomy of the antonomic pelvic plexus. Nerve sparing technique in laparoendoscopic single-site radical hysterectomy, robotic-assisted radical hysterectomy，minilaparoscopic radical hysterectomy and has made grate progress. Because the nerve fibers of pelvic plexue are distributed in a network，it is difficult to identify with the naked eyes. The inaccuracy of nerve preservation restricts the standardization and promotion of surgery. Intraoperation neurelectrophysiological monitoring may be a new development direction of nerve-sparing hysterectomy.
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