Abstract: Objective：To determine the advantages and disadvantages of preoperative placement of ureteral double J tubes in laparoscopic radical surgery for cervical cancer. Methods: A retrospective analysis of 139 cases of laparoscopic radical resection of cervical cancer in the General Hospital of the People′s Liberation Army from January to December 2017, according to whether the double J tube was placed into the drainage group (n=75) or not (control group，n=64). Compare the general information, intraoperative condition and postoperative complication rate of the two groups. Results: The operation time of the drainage group was shorter than that of the control group, and the difference was statistically significant (P＜0.05). There was no significant difference in the amount of intraoperative blood loss and lymph node dissection between two groups (P＞0.05). The incidence of postoperative urinary tract infection in the drainage group was higher than that of the control group (P＜0.05). There was no significant difference in the incidence of postoperative urinary system injury and fever between two groups (all P＞0.05). The incidence of urinary tract infection in the short-term group (20.0%) was lower than that of the long-term group (42.5%), and the difference was statistically significant (χ2=4.343, P=0.037); the incidence of pyelectasis in the short-term group (8.6%) was less than the long-term group (12.5%), but the difference was not statistically significant (P=0.716). Conclusions: Placement of ureteral double J tube before surgery has little effect on surgery for skilled doctors. Double J tube can reduce the operation time, but has little effect on intraoperative bleeding and lymph node dissection, and increases the risk of postoperative infection. If there isn′t urinary system damage, it can be removed together with the urinary catheter 2 or 3 weeks after surgery.

Key words: Laparoscopy, Uterine cervical neoplasms, Catheters, indwelling, Urogenital system, Infection