Querleu D, Leblanc E, Castelain B, Elhage A
Centre Oscar Lambret, Lille.
Chirurgie. 1993;119(4):208-11.
Because small volume lymph node metastases are difficult to recognize despite modern imaging techniques and since staging laparoscopy is costly and leads to important patient discomfort, pelvic then para-aortic lymph node endoscopic dissection has been introduced for staging gynaecological cancers. Since 1988, we have performed 110 pelvic and 17 para-aortic lymph node dissections using this technique. Pava-aortic endoscopic biopsy is indicated for advanced cancer of the cervix and subrenal biopsy for cancer of the ovary. Pelvic node dissection alone is useful in early stage cancers of the uterus and in cancers of the endometrium as well as in urological indications.
尽管现代成像技术仍难以识别小体积淋巴结转移，且分期腹腔镜检查成本高昂并会给患者带来极大不适，但盆腔及腹主动脉旁淋巴结内镜下清扫术已被用于妇科癌症的分期。自1988年以来，我们使用该技术进行了110例盆腔淋巴结清扫术和17例腹主动脉旁淋巴结清扫术。腹主动脉旁内镜活检适用于晚期宫颈癌，肾下活检适用于卵巢癌。单纯盆腔淋巴结清扫术对早期子宫癌、子宫内膜癌以及泌尿外科适应症均有效。
