Possover M, Krause N, Kühne-Heid R, Schneider A
Department of Gynecology, Friedrich-Schiller-University, Jena, Germany.
Gynecol Oncol. 1998 Jul;70(1):94-9. doi: 10.1006/gyno.1998.5040.
We developed and standardized a surgical technique, which allows radical hysterectomy by a combined laparoscopic and vaginal approach with radicalness equivalent to a type III procedure according to Rutledge.
Thirty-six consecutive patients with cervical cancer stage IB1-IIIA with high risk for parametrial involvement were treated between May 1996 and March 1998.
Bilateral para-aortic and pelvic lymphadenectomy and resection of the cardinal ligaments was performed laparoscopically using bipolar coagulation. Dissection of the ureters and resection of bladder pillars and uterosacral ligaments was performed transvaginally. On average 6.5 cm of cardinal ligament could be removed per side.
With the laparoscopic-vaginal technique described a radical hysterectomy type III can be performed.
我们研发并规范了一种手术技术，该技术允许通过腹腔镜和阴道联合入路进行根治性子宫切除术，其根治程度等同于Rutledge分类中的III型手术。
1996年5月至1998年3月期间，对36例连续的IB1-IIIA期宫颈癌且宫旁受累风险高的患者进行了治疗。
使用双极电凝在腹腔镜下进行双侧腹主动脉旁及盆腔淋巴结清扫和主韧带切除。经阴道进行输尿管游离以及膀胱柱和子宫骶韧带切除。每侧平均可切除6.5厘米的主韧带。
采用所述的腹腔镜-阴道技术可以实施III型根治性子宫切除术。
