Huang Marilyn, Slomovitz Brian M, Ramirez Pedro T
Rev Obstet Gynecol. 2009 Spring;2(2):101-6.
Cervical carcinoma is clinically staged according to the International Federation of Gynecology and Obstetrics system; however, this staging system is frequently inaccurate, particularly with advancing stage. Imaging modalities are often used in guiding therapeutic decisions for advanced cervical cancer. However, despite technologic radiographic advances, imaging results correlate variably with the histopathology of surgical specimens. The transperitoneal laparoscopic lymphadenectomy approach offers less morbidity than the traditional laparotomy approach to surgical staging, and the retroperitoneal laparoscopic approach has been demonstrated to decrease the risk of bowel injury and reduce abdominal adhesion formation, and prior abdominal surgery does not appear to be a factor. Further prospective clinical trials are necessary to better define the role of retroperitoneal laparoscopic surgery in the management of gynecologic malignancies.
宫颈癌是根据国际妇产科联盟系统进行临床分期的；然而，这种分期系统常常不准确，尤其是在疾病进展期。影像学检查手段常用于指导晚期宫颈癌的治疗决策。然而，尽管放射技术有所进步，但影像学结果与手术标本的组织病理学结果之间的相关性存在差异。经腹腹腔镜淋巴结清扫术比传统开腹手术分期的发病率更低，并且腹膜后腹腔镜手术已被证明可降低肠损伤风险并减少腹部粘连形成，而且既往腹部手术似乎不是一个影响因素。需要进一步的前瞻性临床试验来更好地明确腹膜后腹腔镜手术在妇科恶性肿瘤管理中的作用。
