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| Comparison of the effect of laparoscopic surgery and open surgery in the treatment of cervical cancer patients#br# |
| CHEN Jijia WU Yumei HE Yue SUN Xuesong |
| Department of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital, Beijing 100006, China |
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Abstract Objective To study the effect of different surgical methods on the intraoperative and postoperative autonomous behavior of patients with cervical cancer. Methods A total of 180 patients with cervical cancer who underwent extensive hysterectomy in the Department of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University from January 2018 to February 2021 were selected. The patients were divided into two groups according to their wishes, the control group received open surgery (138 cases), and the observation group received laparoscopic surgery (42 cases). The intraoperative indexes, postoperative autonomous behavior recovery, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores, and complications were compared between the two groups. Results The intraoperative blood loss and the incidence of intraoperative organ adhesion in the observation group were lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). There were no significant differences in the length of hospital stay, the time of first defecation after surgery, the time of first getting out of bed after surgery, and the time of drainage after surgery between the two groups (P ＞ 0.05). The first defecation time in the observation group was shorter than that in the control group, and the difference was statistically significant (P ＜ 0.05). After treatment, the SDS and SAS scores of the two groups were lower than those before treatment, while the observation group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). The total incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The overall effect of laparoscopic surgery for cervical cancer is better than that of open surgery, which can improve patients’ anxiety and depression and reduce the incidence of complications.
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[1] Bray F，Ferlay J，Soerjomataram I，et al. Global cancer statistics 2018：GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [J]. CA Cancer J Clin，2018，68（6）：394-424.
[2] 陆琦，段小令.宫颈癌的分期演变与诊治争议[J].中国实用妇科与产科杂志，2019，35（10）：1105-1108.
[3] 周晖，王东雁，罗铭，等.《FIGO2018妇癌报告》——子宫颈癌指南解读[J].中国实用妇科与产科杂志，2019，35（1）：95-103.
[4] Ramirez PT，Frumovitz M，Pareja R，et al. Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer [J]. N Engl J Med Overseas Ed，2018，379（20）：1895-1904.
[5] Spirtos NM，Eisenkop SM，Schlaerth JB，et al. Laparoscopic radical hysterectomy （type Ⅲ） with aortic and pelvic lymphadenectomy in patients with stage Ⅰ cervical cancer：surgical morbidity and intermediate follow-up [J]. Am J Obstet Gynecol MFM，2002，187（2）：340-348.
[6] Nam JH，Park JY，Kim DY，et al. Laparoscopic versus open radical hysterectomy in early-stage cervical cancer：long-term survival outcomes in a matched cohort study [J]. Ann Oncol，2012，23（4）：903-911.
[7] Obermair A，Gebski V，Frumovitz M，et al. A phase Ⅲ randomized clinical trial comparing laparoscopic or robotic radical hysterectomy with abdominal radical hysterectomy in patients with early stage cervical cancer [J]. J Minim Invasive Gynecol，2008，15（5）：584-588.
[8] Raspagliesi F，Bogani G，Spinillo A，et al. Introducing nerve-sparing approach during minimally invasive radical hysterectomy for locally-advanced cervical cancer：A multi-institutional experience [J]. Eur J Surg Oncol，2017，43（11）：2150-2156.
[9] Conrad LB，Ramirez PT，Burke W，et al. Role of Minimally Invasive Surgery in Gynecologic Oncology：An Updated Survey of Members of the Society of Gynecologic Oncology [J]. Int J Gynecol Cancer，2015，25（6）：1121-1127.
[10] Tanaka T，Terai Y，Ashihara K，et al. The detection of sentinel lymph nodes in laparoscopic surgery for uterine cervical cancer using 99m-technetium-tin colloid，indocyanine green，and blue dye [J]. Indian J Gynecol Oncol，2017，28（2）：13.
[11] Di Martino G，Crivellaro C，De Ponti E，et al. Indocyanine Green versus Radiotracer with or without Blue Dye for Sentinel Lymph Node Mapping in Stage >ⅠB1 Cervical Cancer （>2 cm） [J]. J Minim Invasive Gynecol，2017， 24（6）：954-959.
[12] Kanao H，Matsuo K，AokI Y，et al. Feasibility and outcome of total laparoscopic radical hysterectomy with no-look no-touch technique for FIGO ⅠB1 cervical cancer [J]. Indian J Gynecol Oncol，2019，30（3）：e71.
[13] Liang C，Liu P，Cui Z，et al. Effect of laparoscopic versus abdominal radical hysterectomy on major surgical complications in women with stage ⅠA-ⅡB cervical cancer in China，2004-2015 [J]. Gynecol Oncol Rep，2020，156（1）：115-23.
[14] 吕尤，冯炜炜，刘华.宫颈癌腹主动脉旁淋巴结手术分期相关问题研究进展[J].现代妇产科进展，2021，30（4）：317-320.
[15] Serati M，Salvatore S，Uccella S，et al. Sexual function after radical hysterectomy for early-stage cervical cancer：is there a difference between laparoscopy and laparotomy? [J]. Sex Med，2009，6（9）：2516-2522.
[16] Bogani G，Serati M，Nappi R，et al. Nerve-sparing approach reduces sexual dysfunction in patients undergoing laparoscopic radical hysterectomy [J]. Sex Med，2014，11（12）：3012-3020.
[17] 陈红梅，李富萍.综合性护理干预对宫颈癌患者负面情绪和术后并发症及生活质量的影响[J].中国肿瘤临床与康复，2016，23（1）：114-116.
[18] 陈小红，林必显，施飞凤.腹腔镜宫颈癌根治术治疗宫颈癌的疗效及对患者相关细胞因子变化的影响[J].中国现代药物应用，2020，14（19）：88-90.
[19] 王雪茹，张燕.早期宫颈癌患者行腹腔镜下盆腔淋巴结清扫术的应用效果[J].慢性病学杂志，2020，21（6）：816-819.
[20] 陈忠菊，陆情蓉，夏佳芬.温灸疗法对宫颈癌腹腔镜手术后患者疗效及免疫功能的影响[J].中国预防医学杂志，2020，21（9）：1059-1062.
[21] 申昌连，毛艳，陈彩眉.加强手术室保温护理在宫颈癌根治术患者手术过程中的应用价值探究[J].中外医疗，2020，39（28）：134-136，154.
[22] 刘欣，张国楠.血清胆固醇水平对宫颈癌患者预后的影响[J].现代妇产科进展，2021，30（4）：255-258.
[23] 谢茹.腹腔镜手术24例早期宫颈癌的效果分析[J].中国社区医师，2019，35（7）：80，82.
[24] 王策.采用腹腔镜手术方法对早期宫颈癌患者手术治疗后所采取的护理手段分析[J].中国医药指南，2020， 18（20）：241-242.
[25] 马丹，张婷.腹腔镜手术对早期宫颈癌患者性生活及生活质量的影响[J].山西医药杂志，2020，49（11）：1413-1415. |
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