中国实用妇科与产科杂志2017，Vol.33Issue(12)：1233-1237,5.DOI:10.19538/j.fk2017120106
妇科恶性肿瘤腹膜后淋巴结切除术路径、要点及并发症防治
Route and main points of retroperitoneal lymph node dissection for gynecological malignancies and the prevention and treatment of complications
蒋芳 1向阳1
作者信息
- 1. 中国医学科学院北京协和医院妇产科,北京100730
- 折叠
摘要
Abstract
Retroperitoneal lymph node dissection,including pelvic and para-aortic lymphadenectomy,is of great importance in gynecological malignancies treatment.Lymphadenectomy can be performed via transperitoneal or extraperitoneal route.The surgical approach used for a lymphadenectomy procedure in gynecological oncology is typically determined by the best approach for the total procedure,patient characteristics and surgeon's experience.Surgery needs to be operated by an experienced gynecologic oncologist.The most frequent intraoperative and postoperative complication is vascular injury,followed by ureteral injury,bowel injury,neurologic injury,or perioperative infection.Late-postoperative complications consist mainly of symptomatic lymphatic lymphocyte (SPOL) and lower extremity lymphedema (LEL).Several techniques may decrease the incidence of SPOL and LEL.Thus,energy equipment should be rationally used during the procedure,the peritoneum should be left open and tube drains should be avoided.关键词
妇科肿瘤/盆腔淋巴结切除/腹主动脉旁淋巴结切除/并发症Key words
gynecological malignancy/pelvic lymphadenectomy/paraaortic lymphadenectomy/complication分类
医药卫生引用本文复制引用
蒋芳,向阳..妇科恶性肿瘤腹膜后淋巴结切除术路径、要点及并发症防治[J].中国实用妇科与产科杂志,2017,33(12):1233-1237,5.
