Cavitron Ultrasonic Surgical Aspirator in Laparoscopic Nerve-Sparing Radical Hysterectomy
Identifieur interne : 001320 ( Main/Exploration ); précédent : 001319; suivant : 001321Cavitron Ultrasonic Surgical Aspirator in Laparoscopic Nerve-Sparing Radical Hysterectomy
Auteurs : Min Hao ; Zhilian Wang ; Fang Wei ; Jingfang Wang ; Wei Wang ; Yi PingSource :
- International Journal of Gynecological Cancer [ 1048-891X ] ; 2016.
Abstract
Pelvic autonomic nerve preservation during radical hysterectomy for cervical cancer has become a priority in recent years. This pilot study was undertaken to evaluate laparoscopic nerve-sparing radical hysterectomy (L-NSRH) using the Cavitron Ultrasonic Surgical Aspirator (CUSA) in women with cervical cancer.
Patients with stage IB1 or IIA1 cervical cancer underwent L-NSRH with pelvic lymphadenectomy. The patients were randomly assigned to receive L-NSRH using a CUSA (CUSA group; n = 24) or using other techniques (non-CUSA group; n = 21). Recovery of bladder function (indwelling catheter time and time to spontaneous voiding) blood loss, duration of hospital stay, lymph node harvesting, and postoperative complications were compared between the 2 groups. Patients were followed for up to 3 years to determine the maintenance of effect.
All patients underwent L-NSRH successfully. Intraoperative blood loss was significantly less in the CUSA than in the non-CUSA group (
Laparoscopic nerve-sparing radical hysterectomy using CUSA was safe and feasible in patients with cervical cancer. Our results provide initial evidence that L-NSRH using CUSA preserves pelvic autonomic nerve function.
Url:
DOI: 10.1097/IGC.0000000000000628
PubMed: 26807637
PubMed Central: 4767107
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Cavitron Ultrasonic Surgical Aspirator in Laparoscopic Nerve-Sparing Radical Hysterectomy</title><author><name sortKey="Hao, Min" sort="Hao, Min" uniqKey="Hao M" first="Min" last="Hao">Min Hao</name></author><author><name sortKey="Wang, Zhilian" sort="Wang, Zhilian" uniqKey="Wang Z" first="Zhilian" last="Wang">Zhilian Wang</name></author><author><name sortKey="Wei, Fang" sort="Wei, Fang" uniqKey="Wei F" first="Fang" last="Wei">Fang Wei</name></author><author><name sortKey="Wang, Jingfang" sort="Wang, Jingfang" uniqKey="Wang J" first="Jingfang" last="Wang">Jingfang Wang</name></author><author><name sortKey="Wang, Wei" sort="Wang, Wei" uniqKey="Wang W" first="Wei" last="Wang">Wei Wang</name></author><author><name sortKey="Ping, Yi" sort="Ping, Yi" uniqKey="Ping Y" first="Yi" last="Ping">Yi Ping</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26807637</idno><idno type="pmc">4767107</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4767107</idno><idno type="RBID">PMC:4767107</idno><idno type="doi">10.1097/IGC.0000000000000628</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000755</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000755</idno><idno type="wicri:Area/Pmc/Curation">000755</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000755</idno><idno type="wicri:Area/Pmc/Checkpoint">000B37</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000B37</idno><idno type="wicri:Area/Ncbi/Merge">007D82</idno><idno type="wicri:Area/Ncbi/Curation">007D82</idno><idno type="wicri:Area/Ncbi/Checkpoint">007D82</idno><idno type="wicri:doubleKey">1048-891X:2016:Hao M:cavitron:ultrasonic:surgical</idno><idno type="wicri:Area/Main/Merge">001322</idno><idno type="wicri:Area/Main/Curation">001320</idno><idno type="wicri:Area/Main/Exploration">001320</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Cavitron Ultrasonic Surgical Aspirator in Laparoscopic Nerve-Sparing Radical Hysterectomy</title><author><name sortKey="Hao, Min" sort="Hao, Min" uniqKey="Hao M" first="Min" last="Hao">Min Hao</name></author><author><name sortKey="Wang, Zhilian" sort="Wang, Zhilian" uniqKey="Wang Z" first="Zhilian" last="Wang">Zhilian Wang</name></author><author><name sortKey="Wei, Fang" sort="Wei, Fang" uniqKey="Wei F" first="Fang" last="Wei">Fang Wei</name></author><author><name sortKey="Wang, Jingfang" sort="Wang, Jingfang" uniqKey="Wang J" first="Jingfang" last="Wang">Jingfang Wang</name></author><author><name sortKey="Wang, Wei" sort="Wang, Wei" uniqKey="Wang W" first="Wei" last="Wang">Wei Wang</name></author><author><name sortKey="Ping, Yi" sort="Ping, Yi" uniqKey="Ping Y" first="Yi" last="Ping">Yi Ping</name></author></analytic><series><title level="j">International Journal of Gynecological Cancer</title><idno type="ISSN">1048-891X</idno><idno type="eISSN">1525-1438</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>Pelvic autonomic nerve preservation during radical hysterectomy for cervical cancer has become a priority in recent years. This pilot study was undertaken to evaluate laparoscopic nerve-sparing radical hysterectomy (L-NSRH) using the Cavitron Ultrasonic Surgical Aspirator (CUSA) in women with cervical cancer.</p></sec><sec><title>Methods</title><p>Patients with stage IB1 or IIA1 cervical cancer underwent L-NSRH with pelvic lymphadenectomy. The patients were randomly assigned to receive L-NSRH using a CUSA (CUSA group; n = 24) or using other techniques (non-CUSA group; n = 21). Recovery of bladder function (indwelling catheter time and time to spontaneous voiding) blood loss, duration of hospital stay, lymph node harvesting, and postoperative complications were compared between the 2 groups. Patients were followed for up to 3 years to determine the maintenance of effect.</p></sec><sec><title>Results</title><p>All patients underwent L-NSRH successfully. Intraoperative blood loss was significantly less in the CUSA than in the non-CUSA group (<italic>P</italic> = 0.005). Length of hospital stay (<italic>P</italic> = 0.006) and indwelling catheter time (<italic>P</italic> = 0.008) were both significantly reduced in the CUSA group compared with that in the non-CUSA group. The spontaneous voiding rate 10 days postoperatively was 95.8% with CUSA and 85.7% with non-CUSA techniques. Two patients developed postoperative complications in the CUSA group as did 3 patients in the non-CUSA group. These were cases of lymphocyst formation or urinary tract infection.</p></sec><sec><title>Conclusions</title><p>Laparoscopic nerve-sparing radical hysterectomy using CUSA was safe and feasible in patients with cervical cancer. 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Jingfang" sort="Wang, Jingfang" uniqKey="Wang J" first="Jingfang" last="Wang">Jingfang Wang</name><name sortKey="Wang, Wei" sort="Wang, Wei" uniqKey="Wang W" first="Wei" last="Wang">Wei Wang</name><name sortKey="Wang, Zhilian" sort="Wang, Zhilian" uniqKey="Wang Z" first="Zhilian" last="Wang">Zhilian Wang</name><name sortKey="Wei, Fang" sort="Wei, Fang" uniqKey="Wei F" first="Fang" last="Wei">Fang Wei</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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