Department of Gynecologic Oncology, West China Second Hospital, Sichuan University (all authors); Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education (all authors), Chengdu, Sichuan, China.
Department of Gynecologic Oncology, West China Second Hospital, Sichuan University (all authors); Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education (all authors), Chengdu, Sichuan, China..
J Minim Invasive Gynecol. 2019 Jul-Aug;26(5):806. doi: 10.1016/j.jmig.2018.09.781. Epub 2018 Sep 29.
To demonstrate the procedure and suspension skills of laparoendoscopic single-site (LESS) staging surgery with infrarenal para-aortic lymphadenectomy for early-stage ovarian cancer.
A presentation of the surgery through this technical video.
A hospital.
A 45-year-old woman presented with a pelvic mass on gynecologic examination and a serum cancer antigen 125 level of 5910 U/mL (normal = <35 U/mL). A computed tomographic scan revealed a mixture of solid and cystic components (70 × 77 × 71 mm) arising from the right ovary and characterized by the "ovarian vascular pelvic" sign. Clinically early-stage ovarian cancer was suspected. Subsequently, LESS staging surgery was performed by an experienced surgeon in our department.
The surgery lasted 280 minutes, and the volume of blood loss was 50 mL; there were no intra- or postoperative complications. We "hid" the incision perfectly for cosmetic purposes. The histopathologic findings supported high-grade serous ovarian cancer of the right ovary with the left fallopian tube involved as well. In addition, a total of 34 negative pelvic and 18 negative para-aortic lymph nodes were identified, and a stage of IIA was diagnosed as a result.
We performed an LESS staging surgery for early-stage ovarian cancer successfully. Our video shows that the LESS approach provided feasible, cosmetic, and safe access among the selected malignant gynecologic surgery. Therefore, we have experienced that the effective suspension was an auxiliary measure for LESS lymphadenectomy. In addition, compared with multiport laparoscopy, the LESS approach could provide easier access to infrarenal para-aortic regions; furthermore, it was safe and quick to extract an unknown sample.
展示腹腔镜下单部位（LESS）分期手术加肾下腔旁淋巴结切除术治疗早期卵巢癌的手术步骤和悬吊技巧。
通过技术视频呈现手术过程。
医院。
一位 45 岁女性因妇科检查时发现盆腔肿块和血清癌抗原 125 水平为 5910 U/ml（正常值<35 U/ml）而就诊。CT 扫描显示右侧卵巢起源的实性和囊性混合成分（70×77×71mm），并伴有“卵巢血管盆腔”征。临床怀疑为早期卵巢癌。随后，由我科有经验的外科医生进行了 LESS 分期手术。
手术持续 280 分钟，出血量 50ml，无术中及术后并发症。我们为了美观目的，完美地“隐藏”了切口。组织病理学检查结果支持右侧卵巢高级别浆液性卵巢癌，左侧输卵管受累。此外，共检出 34 枚阴性盆腔淋巴结和 18 枚阴性肾旁淋巴结，诊断为 IIA 期。
我们成功地为早期卵巢癌患者实施了 LESS 分期手术。我们的视频表明，LESS 方法在选择的妇科恶性肿瘤手术中提供了可行、美观和安全的入路。因此，我们的经验是有效的悬吊是 LESS 淋巴结切除术的辅助措施。此外，与多孔腹腔镜相比，LESS 方法可以更容易地进入肾下腔旁区域，并且可以快速提取未知样本，是安全的。
