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腹腔镜腹膜外主动脉旁淋巴结切除术

Laparoscopic extraperitoneal para-aortic lymphadenectomy.

作者信息

Iserte Pablo Padilla, Minig Lucas, Zorrero Cristina

机构信息

Valencian Institute of Oncology (IVO), Department of Gynecology, Clinical Area of Gynecologic Oncology, Profesor Beltran Baguena, 8, Valencia 46009, Spain.

出版信息

Ecancermedicalscience. 2015 Sep 21;9:573. doi: 10.3332/ecancer.2015.573. eCollection 2015.

DOI:10.3332/ecancer.2015.573
PMID:26435746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4583239/
Abstract

Lymph nodes are the main pathway in the spread of gynaecological malignancies, being a well-known prognostic factor. Lymph node dissection is a complex surgical procedure and requires surgical expertise to perform the procedure, thereby minimising complications. In addition, lymphadenectomy has value in the diagnosis, prognosis, and treatment of patients with gynaecologic cancer. Therefore, a video focused on the para-aortic retroperitoneal anatomy and the surgical technique of the extraperitoneal para-aortic lymphadenectomy is presented.

摘要

淋巴结是妇科恶性肿瘤扩散的主要途径，是一个众所周知的预后因素。淋巴结清扫术是一种复杂的外科手术，需要手术专业知识来实施该手术，从而将并发症降至最低。此外，淋巴结切除术在妇科癌症患者的诊断、预后和治疗中具有价值。因此，本文展示了一段聚焦于腹主动脉旁腹膜后解剖结构及腹膜外腹主动脉旁淋巴结清扫术手术技巧的视频。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/0e8cdbe63cc3/can-9-573fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/b3756015187f/can-9-573fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/0f50a5da30a4/can-9-573fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/d9855b9d99b7/can-9-573fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/b537e9be13bb/can-9-573fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/96773cae3967/can-9-573fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/0e8cdbe63cc3/can-9-573fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/b3756015187f/can-9-573fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/0f50a5da30a4/can-9-573fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/d9855b9d99b7/can-9-573fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/b537e9be13bb/can-9-573fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/96773cae3967/can-9-573fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/4583239/0e8cdbe63cc3/can-9-573fig6.jpg

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本文引用的文献

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A comparison of extraperitoneal versus transperitoneal laparoscopic or robotic para-aortic lymphadenectomy for staging of endometrial carcinoma.经腹与经腹膜外腹腔镜或机器人辅助腹主动脉旁淋巴结切除术治疗子宫内膜癌分期的比较。
Gynecol Oncol. 2014 Feb;132(2):366-71. doi: 10.1016/j.ygyno.2013.12.019. Epub 2013 Dec 20.
2
Comparison of robotic-assisted vs conventional laparoscopy for extraperitoneal paraaortic lymphadenectomy.机器人辅助与传统腹腔镜技术在腹膜外腔腹主动脉旁淋巴结清扫术中的比较。
Gynecol Oncol. 2014 Jan;132(1):98-101. doi: 10.1016/j.ygyno.2013.11.004. Epub 2013 Nov 11.
3
Laparoscopy compared with laparotomy for comprehensive surgical staging of uterine cancer: Gynecologic Oncology Group Study LAP2.
腹腔镜与开腹手术用于子宫癌全面外科分期的比较：妇科肿瘤学组研究 LAP2。
J Clin Oncol. 2009 Nov 10;27(32):5331-6. doi: 10.1200/JCO.2009.22.3248. Epub 2009 Oct 5.
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Transperitoneal versus extraperitoneal para-aortic lymphadenectomy in patients with cervical cancer.宫颈癌患者经腹与腹膜外主动脉旁淋巴结切除术的比较
Rev Obstet Gynecol. 2009 Spring;2(2):101-6.
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Extra-peritoneal laparoscopic para-aortic lymphadenectomy--a prospective cohort study of 293 patients with endometrial cancer.腹膜外腹腔镜主动脉旁淋巴结切除术——一项对293例子宫内膜癌患者的前瞻性队列研究
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