›› 2011, Vol. 23 ›› Issue (1): 58-060.doi: 10.3969/j.issn.1004-616x.2011.01.015

• 肿瘤防治 • Previous Articles     Next Articles

Opened or closed posterior peritoneum in radical hysterectomy in patients with cervical cancer

LI Cong-zhu1,XU Shao-yu2,ZHOU Li1，ZHU Yan1   

  1. 1. Department of Gynecologic Oncology, Cancer Hospital of Shantou University Medical Colleg, Shantou 515041; 2. Shantou University Medical College, Shantou 515041, Guangdong, China
  • Received:2010-09-03 Revised:2010-10-05 Online:2011-01-30 Published:2011-01-30
  • Contact: LI Cong-zhu

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Abstract: To evaluate the correlation of complications with opened or closed posterior peritonum in radical hysterectomy for cervical cancer. METHODS: From January 2006 to December 2008，260 patients with radical hysterectomy and lymphadenectomy for cervical cancer from the Cancer Hospital affiliated to Shantou University Medical College were divided into two groups: 115 cases with peritoneum opened in group A and 145 cases with peritoneum closed in group B. The operation time, lymphatic cyst formation, obstruction of lymphatic return, phlebothrombosis, intestinal obstruction were compared between the two groups. RESULTS: The operation time of group A was obviously shorter than group B (P < 0.05). Lymphatic cyst formation in group A was significant(P < 0.05) compared to group B. Group A had fewer (P< 0.05) obstruction of lymphatic return or phlebothrombosis than the group B. Intestinal obstruction was insignificantly different (P > 0.05) between the two groups. CONCLUSION: Patients treated with peritoneum opened in radical hysterectomy and lymphadenectomy for cervical cancer could shorten the operation time, and would result in fewer postoperative complications.

Key words: cervical cancer, radical hysterectomy, complications, lymphatic cyst