Clinical Study Of Laparoscopic Anatomical Retroperitoneal Lymph Node Dissection In The Treatment Of Cervical Cancer

ObjectiveTo explore a more systematic, orderly, safe, radical surgery methods andtechnique.Methods171Ⅰ a-Ⅱa cervical cancer patients were randomly divided intoexperimental group and control group，The experimental group was treated withlaparoscopic anatomical retroperitoneal lymph node dissection and the controlgroup was treated with laparoscopic traditional retroperitoneal lymph nodedissection.We compared two groups of intraoperative blood loss, operative time,cleaning the retroperitoneal lymph nodes in the group number and the positiverate, postoperative exhaust time, postoperative pelvic traffic, pull the urine tubetime, clinical staging and surgical-pathologic staging, length of hospital stay,recurrence of postoperative follow-up.ResultsThe lymph node group number and total positive rate, postoperative pelvicdrainage fluid, hospitalization days, the experimental group, respectively (25.9±8.41),2.81%,(1019.4±1307.76)ml,(17.2±3.08) days.Control group,respectively (18.1±8.47),1.80%,(2211.1±1565.31)ml,(21.4±3.79) days.They have statistical significance（P＜0.05）.Operation time, pull the urine tubetime, intraoperative blood loss, postoperative exhaust time group, respectivelyis:(252.9±252.9),(11.5±4.40) days,(207.9±166.06)ml,(2.52±1.24)days.Control group:(241.2±46.57),(13.3±6.50) days,(199.3±156.51)ml,(2.51±0.74) days.4people lost to follow-up postoperative relapse patients,control group32people were lost to follow-up.More than135patients, test group1year return3cases relapse, control group1year review7cases ofrecurrence.In the two groups,no clinical staging and surgical pathologicalstaging is not in conformity with the situation.ConclusionLaparoscopic retroperitoneal lymph node dissection type cleaningintraoperative lymph node thoroughly, resection of lymph node positive rate ishigh, less postoperative pelvic drainage fluid, short hospitalization days, and theoperation time, pull the urine tube time, intraoperative blood loss andpostoperative exhaust time also did not increase significantly. It is worthy ofpopularization and application.