Study on the complications of radical vaginal hysterectomy for locally bulky cervical cancer patients

Objective To analyze the complications of radical vaginal hysterectomy in patients with locally bulky cervical cancer. Methods All 258 patients of early cervical cancer (stage ⅠA2-ⅡA) selected in our hospital during the period of June 2011 to June 2016 undergoing radical vaginal hysterectomy and laparoscopic pelvic lymph node dissection were analyzed. All cases were divided into observation (locally bulky) and control (conventional) groups. Comparison analysis was performed for complications of the two groups and the influence of neoadjuvant chemotherapy on the complications of local bulky patients. Results The incidence of complications in the observation group was 26 cases (27.9%), higher than that in the control group of 28 cases (17.0%), the difference was statistically significant (P<0.05). The incidence of bladder injury (5 cases vs 2 cases) in observation group was significantly higher than that in control group (P<0.05). For patients with locally bulky early cervical cancer, the incidence rate of complications of the neoadjuvant chemotherapy group (15.8%) was significantly lower than the simple operation group (36.4%) (P<0.05). The incidence rate of ureteral injury in neoadjuvant chemotherapy group (0 cases vs 6 cases) was significantly lower than that in simple operation group (P<0.05). Conclusions Early cervical cancer patients with locally bulky (stage ⅠB2/ⅡA2) had higher incidence of complications of radical vaginal hysterectomy, and neoadjuvant chemotherapy can reduce the incidence of surgical complications. Key words: Hysterectomy, vaginal/AE; Uterine cervical neoplasms/SU/CO; Postoperative complications