Kusunoki Soshi, Huang Kuan-Gen, Magno Angelito, Lee Chyi-Long
Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou and Chang Gung University College of Medicine, Kweishan, Taoyuan, Taiwan.
Gynecol Minim Invasive Ther. 2017 Apr-Jun;6(2):51-57. doi: 10.1016/j.gmit.2016.01.003. Epub 2016 Feb 8.
Since Dr Dargent first reported endoscopic surgery using retroperitoneal pelvicoscopy to perform pelvic lymph node sampling in 1987, many literature reviews on the safety and feasibility of laparoscopic staging surgery of gynecologic malignancies have been published. However, the procedure of laparoscopic lymphadenectomy is more difficult to perform due to the limited surgical space and associated technical problems. Especially in the para-aortic lymphadenectomy procedure, there are many barriers to overcome in the surgical field, learning curve, and technique. We present a review of lymphadenectomy, especially para-aortic lymphadenectomy.
自1987年达金特医生首次报告使用腹膜后盆腔镜进行盆腔淋巴结采样的内镜手术以来，已经发表了许多关于妇科恶性肿瘤腹腔镜分期手术安全性和可行性的文献综述。然而，由于手术空间有限和相关技术问题，腹腔镜淋巴结清扫术的操作更加困难。特别是在主动脉旁淋巴结清扫术中，在手术视野、学习曲线和技术方面有许多障碍需要克服。我们对淋巴结清扫术，尤其是主动脉旁淋巴结清扫术进行综述。
