腹膜外腹腔镜主动脉旁淋巴结切除术作为妇科癌症淋巴结复发的诊断方法。
Extraperitoneal laparoscopic para-aortic lymphadenectomy as a diagnostic procedure for lymph node recurrence of gynaecological cancers.
作者信息
Sanjuán A, Illa M, Torné A, Román S Martínez, Jurado M, Lejarcegui J A, Pahisa J
机构信息
Department of Gynecology and Obstetrics, Hospital Clínic i Provincial, University of Barcelona, Spain.
出版信息
Acta Obstet Gynecol Scand. 2007;86(4):491-5. doi: 10.1080/00016340701275408.
OBJECTIVE
The aim of this study was to evaluate the feasibility of extraperitoneal laparoscopic para-aortic lymphadenectomy for lymph node recurrence of gynecological cancers.
METHODS
Seven patients underwent extraperitoneal laparoscopic para-aortic lymphadenectomies for suspected lymph node recurrence, detected by magnetic resonance image or CT scan. The suspicious nodes were removed through an extraperitoneal laparoscopic approach.
RESULTS
The median age of patients was 51 years (range: 39-67). The median operating time was 207 min (range 120-300). There were no intraoperative or postoperative complications. The median nodal yield was 7.3 (range: 1-15). The median hospital stay was 2.5 days (range: 2-3). Histological examination revealed metastasis in 6 of the 7 patients.
CONCLUSION
The extraperitoneal laparoscopic para-aortic lymphadenectomy for lymph node recurrence of gynecological cancers is a safe and feasible procedure which should be considered in the case of possible recurrence.
目的
本研究旨在评估经腹膜外腹腔镜主动脉旁淋巴结切除术治疗妇科癌症淋巴结复发的可行性。
方法
7例患者因磁共振成像或CT扫描检测出疑似淋巴结复发，接受了经腹膜外腹腔镜主动脉旁淋巴结切除术。通过经腹膜外腹腔镜手术方法切除可疑淋巴结。
结果
患者的中位年龄为51岁（范围：39 - 67岁）。中位手术时间为207分钟（范围120 - 300分钟）。无术中或术后并发症。中位淋巴结收获量为7.3个（范围：1 - 15个）。中位住院时间为2.5天（范围：2 - 3天）。组织学检查显示7例患者中有6例发生转移。
结论
经腹膜外腹腔镜主动脉旁淋巴结切除术治疗妇科癌症淋巴结复发是一种安全可行的手术方法，在可能复发的情况下应予以考虑。
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