Rodier J F, Janser J C, Navarrete E, Rodier D
Département de Chirurgie Oncologique, Centre Régional de Lutte contre le Cancer Paul-Strauss, Strasbourg.
Rev Fr Gynecol Obstet. 1990 Apr;85(4):232-7.
The gravity of the pelvic lymphocysts after extended lymphadeno-colpo-hysterectomies for uterine cancers has been outlined in many studies and only a preventive strategy can reduce the morbidity, which is mainly of urinary order. The present technique is in line with this approach and breaches the peritonization dogma in gynaecology. After the presentation of 60 cases of extended colpo-hysterectomies with iliac lymphadenectomy and without reperitonization, the authors study the post-operative lymphorrhea and evaluate the morbidity proper to the technique by comparing their results with the literature data. The safety , the feasibility of the technique and its preventive role in the development of lymphocysts should favour its expansion in pelvic cancer surgery.
许多研究都概述了子宫癌扩大淋巴结清扫术后盆腔淋巴囊肿的严重性，只有预防策略才能降低发病率，其主要为泌尿系统疾病。目前的技术符合这一方法，并且打破了妇科腹膜化的教条。在介绍了60例扩大阴式子宫切除术加髂淋巴结清扫且未进行腹膜化的病例后，作者研究了术后淋巴漏，并通过将他们的结果与文献数据进行比较来评估该技术特有的发病率。该技术的安全性、可行性及其在淋巴囊肿形成中的预防作用应有助于其在盆腔癌手术中的推广。
