Roy Michel, Plante Marie, Renaud Marie-Claude
Department of Gynaecologic Oncology, Laval University and Gynecologic Oncology Service, Centre Hospitalier Universitaire de Québec (CHUQ), L'Hôtel-Dieu de Québec, Laval University, Quebec City, Que., Canada G1R 2J6.
Best Pract Res Clin Obstet Gynaecol. 2005 Jun;19(3):377-86. doi: 10.1016/j.bpobgyn.2004.12.001. Epub 2005 Jan 25.
Young patients affected by an early-stage invasive cancer of the cervix are usually treated by surgery. Abdominal radical hysterectomy with pelvic lymphadenectomy is the most widely used technique. With the advent of more conservative surgical approaches, laparoscopy has gained acceptance in gynecologic oncology, opening the way for radical vaginal surgery for cervical cancer. Before this technique becomes widely accepted, it has to be demonstrated that the results, in terms of safety and efficacy, are comparable with the 'standard' abdominal approach. In this chapter we review the technique of laparoscopically assisted radical vaginal hysterectomy and evaluate results of published series.
患有早期浸润性宫颈癌的年轻患者通常采用手术治疗。腹式根治性子宫切除术加盆腔淋巴结清扫术是最广泛使用的技术。随着更保守手术方法的出现，腹腔镜检查已在妇科肿瘤学中得到认可，为宫颈癌的根治性阴道手术开辟了道路。在这项技术被广泛接受之前，必须证明其在安全性和有效性方面的结果与“标准”腹部手术方法相当。在本章中，我们回顾了腹腔镜辅助根治性阴道子宫切除术的技术，并评估了已发表系列研究的结果。
