Nerve-Sparing Versus Conventional Laparoscopic Radical Hysterectomy

Abstract

The beneficial effects (in terms of operative time and number of nodes harvested) of NS-LRH are likely determined by the expertise of the surgeon because NS approach was introduced after having acquired adequate background in conventional LRH. Our data show that in experienced hands NS-LRH is safe and feasible. Moreover, NS technique reduces catheterization time and the rate of postoperative urinary dysfunction.

Comparison of Nerve-Sparing Radical Hysterectomy and Radical Hysterectomy: a Systematic Review and Meta-Analysis

“…Eight studies reported data on urinary incontinence after NSRH and RH [14,18,19,25,26,28,30,31]. Data extracted from the eight studies were meta-analyzed using a fixed effect model because of low heterogeneity among the trials (P ≥ 0.05, I…”

“…Six studies met our inclusion criteria reported overall recurrence rate [14,16,17,[23][24][25]. We extracted the overall recurrence data and used random effects model in this meta-analysis due to high heterogeneity among studies (P < 0.05, I…”

“…In order to make the data comparable, we calculated the mean time and standard deviation of data in 3 studies [13,25,27], which only reported the median time and range of catheterization by using the Hozo and colleagues' methods [10]. Meta-analysis of the 11 studies' data on mean time of catheterization indicated that NSRH had a significantly shorter mean time of catheterization than RH (n = 686, MD = -8.01, 95% CI -10.64 to -5.38, P < 0.00001; Fig.…”

“…33 Although anorectal function outcomes were reported by several studies, we only found 2 relevant studies with comparable data on anorectal dysfunction [18,25]. Due to various parameters indicating anorectal dysfunction such as constipation, defecation straining, stool incontinence and flatulence incontinence, we chose constipation as the comparable parameter of anorectal dysfunction in this review [32].…”

“…Seven studies were included in this review for a meta-analysis with local recurrence rate data [14,16,17,[23][24][25]31], of which six studies reported overall recurrence rate data as well [14,16,17,[23][24][25]. Meta-analysis of these local and overall recurrence rate data didn't show significant differences after NSRH and RH procedures.…”