Department of Obstetrics and Gynecology, Chengdu Women and Children's Central Hospital, Affiliated to University of Electronic Science and Technology of China, Chengdu, China.
J Gynecol Oncol. 2021 Jan;32(1):e2. doi: 10.3802/jgo.2021.32.e2. Epub 2020 Oct 26.
The aim of the present study was to introduce a new technique for laparoscopic para-aortic lymphadenectomy (PAL): an invented retroperitoneum suspension needle combined with modified trocar placement.
This prospective pilot study randomly categorized women with cervical cancer of stage I-II into 2 groups. The patients in the study group would have laparoscopic PAL with our new technique, while those in the control group with control method. Patients' characteristics and perioperative outcomes were compared between the 2 groups.
A total of 37 patients were included in our study, of which 20 cases in the study group and 17 cases in the control group. As a result, the mean number of para-aortic lymph nodes (PALNs) resected in the study group was significantly more than that in the control group (p<0.001). The time for resecting PALNs (p<0.001) and total operative time (p<0.001) in the study group decreased significantly than those in the control group.
For laparoscopic PAL, this new technique was effective and practical.
本研究旨在介绍一种新的腹腔镜腹主动脉旁淋巴结清扫术（PAL）技术：发明的腹膜后悬吊针联合改良套管针放置。
这项前瞻性试点研究将 I 期和 II 期宫颈癌患者随机分为两组。研究组采用我们的新技术行腹腔镜 PAL，对照组则采用传统方法。比较两组患者的特征和围手术期结局。
本研究共纳入 37 例患者，其中研究组 20 例，对照组 17 例。结果显示，研究组切除的腹主动脉旁淋巴结（PALNs）数量明显多于对照组（p<0.001）。研究组切除 PALNs 的时间（p<0.001）和总手术时间（p<0.001）均明显短于对照组。
对于腹腔镜 PAL，这种新技术是有效且实用的。
