Estrade J-P, Lazard A, Gurriet B, Agostini A, Blanc B
Centre de gynécologie-obstétrique 10, rue d'Iéna, 13006 Marseille, France.
Gynecol Obstet Fertil. 2010 Feb;38(2):135-41. doi: 10.1016/j.gyobfe.2009.12.013. Epub 2010 Feb 1.
The idea that pelvic cancers can be treated by laparoscopy is now commonly admitted among gynaecological surgeons. Literature shows a lower morbidity than laparotomy, with similar prognostic results. Metastatic invasion of para-aortic lymph nodes is a major prognostic factor in gynaecological malignancies. It modifies the therapeutic plan and requires retroperitoneal lymphadenectomy in many indications. Laparoscopy is an interesting technical procedure in this situation: it allows both staging and curative surgery. Two laparoscopic ways are eligible: transperitoneal lymphadenectomy and retroperitoneal lymphadenectomy.
现在，妇科外科医生普遍认为腹腔镜可用于治疗盆腔癌。文献表明，与剖腹手术相比，腹腔镜手术的发病率更低，预后结果相似。腹主动脉旁淋巴结的转移浸润是妇科恶性肿瘤的主要预后因素。它会改变治疗方案，在许多情况下需要进行腹膜后淋巴结清扫术。在这种情况下，腹腔镜检查是一种很有意义的技术手段：它既可以用于分期，也可以用于根治性手术。有两种腹腔镜手术方式可行：经腹淋巴结清扫术和腹膜后淋巴结清扫术。
