Fidalgo de Matos C J, Querleu D, Leblanc E
Service de Chirurgie mammaire et pelvienne, Institut Jules Bordet, Bruxelles.
Rev Med Brux. 1993 Jun;14(6):163-8.
Accurate staging of invasive cervical cancer is essential to its adequate treatment. Current clinical staging of cervical cancer is inaccurate, particularly for lymph-nodes evaluation. At reduced cost and risks laparoscopic pelvic lymphadenectomy allows accurate detection of lymph-node metastases. Its place in the staging of early cervical cancer is being evaluated. Our inquiry, multicentric and including more than 500 laparoscopic pelvic lymphadenectomies, leads to the conclusion that this technique is accurate and is associated with a reduced but variable morbidity depending on the technique and operator's ability. The implications of the results of laparoscopic lymphadenectomy in the type and modalities of subsequent treatment are discussed.
准确对浸润性宫颈癌进行分期对其充分治疗至关重要。目前宫颈癌的临床分期并不准确，尤其是在淋巴结评估方面。腹腔镜盆腔淋巴结切除术以较低的成本和风险能够准确检测淋巴结转移情况。其在早期宫颈癌分期中的作用正在评估中。我们的多中心调查纳入了500多例腹腔镜盆腔淋巴结切除术，得出的结论是该技术准确，且根据技术和术者能力不同，其相关发病率虽有所降低但存在差异。文中还讨论了腹腔镜淋巴结切除术结果对后续治疗类型和方式的影响。
