loading page

The sealing effect of the magnetic-sealing uterine manipulator in patients with early-stage cervical cancer
  • +8
  • Xue Zhou,
  • Dongxin Liang,
  • Qing Li,
  • Lanbo Zhao,
  • Yadi Bin,
  • Lu Han,
  • Lei Wang,
  • Feng Ma,
  • Rongqian Wu,
  • Yi Lv,
  • Qiling Li
Xue Zhou
the First Affiliated Hospital of Xi’an Jiaotong University,
Author Profile
Dongxin Liang
the First Affiliated Hospital of Xi’an Jiaotong University
Author Profile
Qing Li
the First Affiliated Hospital of Xi'an Jiaotong University
Author Profile
Lanbo Zhao
Xi'an Jiaotong University
Author Profile
Yadi Bin
the First Affiliated Hospital of Xi'an Jiaotong University
Author Profile
Lu Han
the First Affiliated Hospital of Xi’an Jiaotong University
Author Profile
Lei Wang
the First Affiliated Hospital of Xi’an Jiaotong University
Author Profile
Feng Ma
the First Affiliated Hospital of Xi'an Jiaotong University
Author Profile
Rongqian Wu
the First Affiliated Hospital of Xi'an Jiaotong University
Author Profile
Yi Lv
the First Affiliated Hospital of Xi'an Jiaotong University
Author Profile
Qiling Li
Xian Jiaotong University

Corresponding Author:[email protected]

Author Profile

Abstract

Objective: To assess the sealing effect of a Magnetic-Sealing Uterine Manipulator (MUM) in isolated uterus. Design: Non - intervention study. Setting: This study was conducted at the First Affiliated Hospital of Xi’an Jiaotong University from November 2019 to April 2021. Population: Patients with early-stage cervical cancer who underwent radical laparotomy hysterectomy. Methods: The MUM closure test (group 2) and the control test (right-angle forceps closure tests, group 1 and 3) were carried out in an isolated uterus. Main outcome measure: DNA ploidy analysis system was used to analyze the exfoliated cells. Statistical analysis was performed using Wilcoxon signed rank test to assess the sealing effect of MUM. Results: We identified 36 patients. None regional node metastasis was found in all cases and only one of their tumors was larger than 4.0 cm. The mean numbers of exfoliated tumor cells in groups 1, 2, and 3 were 1, 1, and 2, respectively. There was no significant difference in the number of exfoliated cells between group 1 and group 3 (p=0.476). We merged the results of group 1 and 3. Furthermore, there was significant difference between right-angle forceps closure tests and MUM closure test (p=0.022). Conclusion: The sealing effect for MUM was better than the right-angle forceps. The MUM can effectively seal the cervical cancer cells in the cup cover and avoid the dissemination of tumor cells.