关键词: 宫颈肿瘤；, 腹腔镜；, 神经系统；, 子宫切除术；, 手术后期间；, 尿动力学

Abstract: Cervical cancer is the fourth most malignant tumor in women. Abdominal radical hysterectomy combined with pelvic lymphadenectomy is a classic treatment option, with a 5-years survival rate of over 80% postoperatively. However, due to the injury of the pelvic autonomic nerves (PAN), severe pelvic floor dysfunction is often followed. In order to improve the quality of life after surgery, nerve-sparing radical hysterectomy (NSRH) has undergone a series of evolutions since 1961. With the application of laparoscopy in the field of gynecological malignancies, it has been found that the advantages of laparoscopy, such as magnification, making it easier to identify, dissect and preserve PAN in laparoscopic procedure of extensive hysterectomy (laparoscopic nerve - sparing radical hysterectomy, LNSRH), which has been used in clinic gradually. Although LNSRH can improve the pelvic floor function for early-stage cervical cancer patients, there are still many problems to be solved for the operation, and the current controversy about laparoscopic treatment of cervical cancer continues. The safety analysis of multicenter, large-sample prospective randomized controlled studies are still needed.

Key words: Uterine cervical neoplasms;, Laparoscopes;, Nervous system;, Hysterectomy;, Postoperative period;, Urodynamics