Assessment of Surgical Efficacy in Total Hysterectomy for Managing Massive Cervical Tumors: A Study of 7 Cases.

OBJECTIVE: This study aims to evaluate the efficacy and safety of total hysterectomy in the surgical management of rare cervical giant tumors and improve patient outcomes. It summarizes the experience in diagnosing and treating clinical cervical giant tumors, focusing on improving the surgical techniques for these cases.

METHODS: We conducted a retrospective analysis of seven patients who underwent total hysterectomy for rare cervical giant tumors between January 2020 and June 2022 at our hospital. Among these cases, four were diagnosed as super cervical giant tumors, while two were identified as cervical giant sarcomas. The clinical data of these patients were documented and analyzed. The study evaluated the efficacy and safety of total hysterectomy, focusing on minimizing damage to surrounding organs, reducing intraoperative bleeding, and preventing iatrogenic dissemination in patients with cervical giant sarcomas.

RESULTS: Total abdominal hysterectomy was successfully performed in all seven cases. During the surgical procedures, we encountered one case of ureteral injury and two cases of significant bleeding, with a bleeding volume of 800ml. Fortunately, all patients recovered well after surgery.

CONCLUSIONS: This analysis highlights the challenges and successful outcomes of total hysterectomy in the treatment of rare cervical giant tumors. It underscores the importance of careful surgical techniques to minimize complications and promote patient recovery. While ureteral injuries and bleeding were encountered, our patients eventually had positive postoperative outcomes.