Laparoscopic radical hysterectomy and pelvic lymph node dissection for early cervical cancer effectively improves surgical efficacy

• DOI: 10.62347/uley1927
• Publication Date: 2025-03-28T08:02:40Z
• Authors: Mingyan Luo

To evaluate the efficacy and safety of laparoscopic radical hysterectomy (LRH) combined with pelvic lymph node dissection (PLND) in patients early-stage cervical cancer. This retrospective study analyzed 58 cases early cancer who underwent surgical treatment at Western Theater Command General Hospital between January 2019 September 2020. Patients were divided into two groups based on approach: observation group (n=26) received LRH PLND without uterine manipulator, while control (n=32) manipulator PLND. Clinical data including operative time, intraoperative blood loss, time to first flatus, postoperative hospital stay, number nodes dissected, pain (VAS score 7 days) compared groups. Serum tumor markers (CA125, CA199, CEA, SCC) measured analyzed. Postoperative complications quality life assessed during a 6-month follow-up period. further categorized good prognosis (n=40, no recurrence) poor (n=18, 1-year outcomes identify independent prognostic factors. The demonstrated significantly better group, shorter reduced earlier return bowel function, lower scores, decreased serum marker levels (all P<0.05). also had higher dissected (P<0.05). Furthermore, this showed incidence 6 months postoperatively Multivariate analysis identified approach as demonstrates superior outcomes, complication rates, improved recovery for cancer, representing valuable advancement clinical practice.