Córdoba O, Gil-Moreno A, de la Torre J, Martínez-Palones J M, Díaz B, Xercavins J
Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno-infantil Vall d'Hebron, Autonomous University of Barcelona, Passeig Vall d'Hebron 119-129, E-08035 Barcelona, Spain.
Int J Gynecol Cancer. 2006 May-Jun;16(3):991-3. doi: 10.1111/j.1525-1438.2006.00595.x.
The endoscopic retroperitoneal approach is a minimally invasive method for surgical staging of cervical cancer. A 57-year-old woman had an intraoperative diagnosis of carcinoma of the left fallopian tube and undergone a retroperitoneal pelvic and para-aortic lymphadenectomy with no peritonization during surgical staging. Small suspicious nodes in the serous membrane of the sigmoid colon and peritoneal washings were positive for malignancy. A total of 12 nodes were obtained, all of which were negative. She received six cycles of paclitaxel and platinum-based chemotherapy and showed a complete clinical response. Thirty-two months after surgery, the abdominal computed tomography scan showed a left para-aortic lymph node, 19 mm in diameter, which was successfully removed through an extraperitoneal laparoscopic approach. The extraperitoneal laparoscopic approach of the para-aortic region is a feasible procedure after previous transperitoneal lymphadenectomy and chemotherapy.
内镜下经腹膜后入路是一种用于宫颈癌手术分期的微创方法。一名57岁女性术中诊断为左侧输卵管癌，在手术分期时接受了腹膜后盆腔及腹主动脉旁淋巴结清扫术，未进行腹膜化处理。乙状结肠浆膜上的小可疑结节及腹腔冲洗液恶性检查呈阳性。共获取12个淋巴结，均为阴性。她接受了六个周期的紫杉醇和铂类化疗，临床完全缓解。术后32个月，腹部计算机断层扫描显示一个直径19毫米的左腹主动脉旁淋巴结，通过腹膜外腹腔镜手术成功切除。对于先前接受过经腹淋巴结清扫术及化疗的患者，腹膜外腹腔镜腹主动脉旁区域入路是一种可行的手术方式。
