What is the best surgical method for cervical precancerous lesions?

With the gradual improvement of medical standards, surgery for cervical precancerous lesions is no longer limited to the original resection and lymph node dissection. More and more new surgical methods are gradually being used in clinical practice, which has greatly improved the quality of life of patients. Currently, the commonly used new surgical methods mainly include extensive cervical resection with preserved fertility, extensive resection of cervical precancerous lesions with preserved nerve function, laparoscopic extensive cervical precancerous lesion surgery + lymph node dissection, pelvic exenteration, etc.

1. Radical cervical resection to preserve fertility

Radical cervical excision that preserves fertility is suitable for young patients with early cervical precancerous lesions. It is generally performed via vaginal and laparoscopic or laparotomy, and the pregnancy rate after surgery is high.

II. Nerve-sparing wide resection of cervical precancerous lesions

Preserving the nerves that control the bladder during extensive resection of cervical precancerous lesions is beneficial to the recovery of bladder function after surgery and improves the quality of life after surgery.

3. Laparoscopic extensive surgery for cervical precancerous lesions + lymph node dissection

Laparoscopic extensive surgery for cervical precancerous lesions + lymph node dissection can be completed entirely under laparoscopy, with the advantages of small incision, less bleeding, quick recovery and improved quality of life.

4. Pelvic exenteration

Pelvic exenteration mainly includes anterior pelvic exenteration, posterior pelvic exenteration and total pelvic exenteration, which is mainly suitable for patients with cervical precancerous lesions with bladder and rectal infiltration or central recurrence after radiotherapy and chemotherapy.