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腹腔镜腹主动脉旁淋巴结清扫术：经腹膜与腹膜外腹主动脉旁淋巴结切除术不同入路的比较

Laparoscopic technique of para-aortic lymph node dissection: A comparison of the different approaches to trans- versus extraperitoneal para-aortic lymphadenectomy.

作者信息

Kusunoki Soshi, Huang Kuan-Gen, Magno Angelito, Lee Chyi-Long

机构信息

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.

出版信息

Gynecol Minim Invasive Ther. 2017 Apr-Jun;6(2):51-57. doi: 10.1016/j.gmit.2016.01.003. Epub 2016 Feb 8.

DOI:10.1016/j.gmit.2016.01.003
PMID:30254875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6113969/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8d/6113969/87a57dbd109d/GMIT-6-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8d/6113969/5026d6d2c448/GMIT-6-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8d/6113969/fd06c2aa0221/GMIT-6-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8d/6113969/87a57dbd109d/GMIT-6-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8d/6113969/5026d6d2c448/GMIT-6-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8d/6113969/fd06c2aa0221/GMIT-6-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8d/6113969/87a57dbd109d/GMIT-6-51-g003.jpg

相似文献

[1]
Laparoscopic technique of para-aortic lymph node dissection: A comparison of the different approaches to trans- versus extraperitoneal para-aortic lymphadenectomy.

Gynecol Minim Invasive Ther. 2017

[2]
Robot-assisted laparoscopic transperitoneal infrarenal lymphadenectomy in patients with locally advanced cervical cancer by single docking: Do we need a backup procedure?

J Robot Surg. 2018-3

[3]
Feasibility of extraperitoneal laparoscopic para-aortic and common iliac lymphadenectomy.

Gynecol Oncol. 2006-11

[4]
Laparoscopic extraperitoneal para-aortic lymphadenectomy.

Ecancermedicalscience. 2015-9-21

[5]
Laparoscopic local extraperitoneal para-aortic lymphadenectomy: Description of a novel technique.

Mol Clin Oncol. 2017-3

[6]
Balloon Trocar Is a Suitable Instrument for Retroperitoneal Para-aortic Lymphadenectomy in Gynecologic Malignant Diseases.

J Minim Invasive Gynecol. 2023-7

[7]
Laparoscopic Transperitoneal Para-Aortic Lymphadenectomy in 10 Steps.

J Minim Invasive Gynecol. 2017-9-28

[8]
A Review of Laparoscopic Para-aortic Lymphadenectomy for Early-stage Endometrial Cancer: Extraperitoneal Approach May Have the Advantage over Intraperitoneal Approach.

Gynecol Minim Invasive Ther. 2023-10-31

[9]
Robot-assisted total extraperitoneal para-aortic and pelvic lymphadenectomy.

Gynecol Oncol Rep. 2021-4-24

[10]
Laparoscopic surgical staging in cervical cancer--preliminary experience among Chinese.

Gynecol Oncol. 1997-1

引用本文的文献

[1]
Current Paradigm and Future Directions in the Management of Nodal Disease in Locally Advanced Cervical Cancer.

Cancers (Basel). 2025-1-9

[2]
Lymph node assessment in cervical cancer: current approaches.

Front Oncol. 2024-11-11

[3]
Laparoscopic Resection of Para-Aortic Mass at the Aortic Bifurcation: An Atypical Presentation of a Tailgut Cyst.

Cureus. 2024-6-14

[4]
A Review of Laparoscopic Para-aortic Lymphadenectomy for Early-stage Endometrial Cancer: Extraperitoneal Approach May Have the Advantage over Intraperitoneal Approach.

Gynecol Minim Invasive Ther. 2023-10-31

[5]
Feasibility of Laparoscopic Para-Aortic Lymphadenectomy for Locally Advanced Cervical Cancer.

JSLS. 2022

[6]
Implications of Isolated Para-Aortic Lymph Node Metastasis in Endometrial Cancer: A Large-Scale, Multicenter, and Retrospective Study.

Front Med (Lausanne). 2021-10-21

[7]
New Peritoneal Traction Device for Laparoscopic Paraaortic Lymphadenectomy.

JSLS. 2020

本文引用的文献

[1]
Long-term survival outcome of laparoscopic staging surgery for endometrial cancer in Taiwanese experience.

Taiwan J Obstet Gynecol. 2014-3

[2]
A comparison of extraperitoneal versus transperitoneal laparoscopic or robotic para-aortic lymphadenectomy for staging of endometrial carcinoma.

Gynecol Oncol. 2013-12-20

[3]
Robotic-assisted transperitoneal aortic lymphadenectomy as part of staging procedure for gynaecological malignancies: single institution experience.

Obstet Gynecol Int. 2013

[4]
Comparison of single-port laparoscopy and conventional laparoscopy for extraperitoneal para-aortic lymphadenectomy.

Surg Endosc. 2013-11

[5]
Surgical outcome of extraperitoneal paraaortic lymph node dissections compared with transperitoneal approach in gynecologic cancer patients.

J Minim Invasive Gynecol. 2013-5-14

[6]
Robotic transperitoneal aortic lymphadenectomy in gynecologic cancer: a new robotic surgical technique and review of the literature.

Ann Surg Oncol. 2012-5-30

[7]
A new single-port approach to perform a transperitoneal step and an extraperitoneal para-aortic lymphadenectomy with a single incision.

J Am Coll Surg. 2012-5

[8]
Robotically assisted laparoscopy for paraaortic lymphadenectomy: technical description and results of an initial experience.

Surg Endosc. 2012-3-10

[9]
First 100 early endometrial cancer cases treated with laparoendoscopic single-site surgery: a multicentric retrospective study.

Am J Obstet Gynecol. 2012-1-30

[10]
Laparoscopic extraperitoneal aortic dissection: does single-port surgery offer the same possibilities as conventional laparoscopy?

Surg Endosc. 2012-1-26

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