Dargent D
Service de gynécologie-obstétrique Hôpital Edouard-Herriot 69437 Lyon.
Rev Prat. 2001 Sep 1;51(13):1449-53.
There are two places for laparoscopic surgery in the management of uterine cancer. For the patients who have to be submitted to primary surgery the laparoscope enables us to select the ones who can be operated without laparotomy (no lymph nodes involvement after laparoscopic lymphadenectomy) and to make easier the "minimal access surgery" (laparoscopically assisted vaginal hysterectomy and radical hysterectomy). For the patients who have to be submitted to radiotherapy (and concomitant chemotherapy), the laparoscope enables us to select the ones for whom an extended field radiotherapy is useless (no aortic lymph nodes involved after laparoscopic lymphadenectomy) and to perform an ovarian transposition which protects the ovarian function of young patients.
在子宫癌的治疗中，腹腔镜手术有两个作用。对于必须接受初次手术的患者，腹腔镜使我们能够筛选出无需开腹即可手术的患者（腹腔镜淋巴结清扫术后无淋巴结受累），并使“微创外科手术”（腹腔镜辅助阴道子宫切除术和根治性子宫切除术）变得更容易。对于必须接受放疗（及同步化疗）的患者，腹腔镜使我们能够筛选出扩大野放疗无用的患者（腹腔镜淋巴结清扫术后无主动脉旁淋巴结受累），并进行卵巢移位术，以保护年轻患者的卵巢功能。
