切换至 "中华医学电子期刊资源库"

中华腔镜外科杂志(电子版) ›› 2016, Vol. 09 ›› Issue (04) : 253 -256. doi: 10.3877/cma.j.issn.1674-6899.2016.04.017

所属专题: 文献

综述

腹腔镜下腹主动脉旁淋巴结清扫并发症
何小艳1, 张蔚1,(), 刘静1, 毛林1   
  1. 1. 430060 武汉大学人民医院妇一科
  • 收稿日期:2016-04-06 出版日期:2016-08-30
  • 通信作者: 张蔚

Complications of laparoscopic para-aortic lymphadenectomy

Xiaoyan He1, Wei Zhang1,(), Jing Liu1, Lin Mao1   

  1. 1. The First Department of Genecology, Renmin Hospital of Wuhan University, Wuhan 430060, China
  • Received:2016-04-06 Published:2016-08-30
  • Corresponding author: Wei Zhang
  • About author:
    Corresponding author: Zhang Wei, Email:
引用本文:

何小艳, 张蔚, 刘静, 毛林. 腹腔镜下腹主动脉旁淋巴结清扫并发症[J/OL]. 中华腔镜外科杂志(电子版), 2016, 09(04): 253-256.

Xiaoyan He, Wei Zhang, Jing Liu, Lin Mao. Complications of laparoscopic para-aortic lymphadenectomy[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(04): 253-256.

腹腔镜下腹主动脉旁淋巴结清扫术是妇科恶性肿瘤根治性手术的重要组成部分,可对腹主动脉旁淋巴结(para-aortic lymph node, PALN)状况进行准确评估,从而制订科学合理的个体化放、化疗方案。随着微创技术的发展,腹腔镜手术的可行性及安全性日渐提高,然而PALN的解剖位置深,分布范围广,邻近组织和脏器较多且复杂,手术充分显露困难,因而损伤风险高,增加手术并发症的发生率。

Laparoscopic para-aortic lymphadenectomy is an important component of radical surgery for gynecological malignant tumor, it can confirm the accurate condition of lymph nodes, then help to make the scientific and reasonable individualized therapeutic schedule for each patients. With the development of minimally invasive technique, the feasibility and security of laparoscopic surgery are increasing, however, the deep anatomic location and wide distribution range of para-aortic lymph node, make it difficult to fully exposed operation field, and may induce high risk of injury, increase the incidence of surgical complications.

1
Nezhat CR, Burrell MO, Nezhat FR, et al. Laparoscopic radical hysterectomy with paraaortic and pelvic node dissection [J]. American Journal of Obstetrics & Gynecology, 1994, 166 (3): 864-865.
2
Querleu D. Laparoscopic radical hysterectomy [J]. American journal of obstetrics & gynecology, 1993, 168 (5): 1643-1645.
3
Canis M, Mage G, Pouly JL, et al. Laparoscopic radical hysterectomy for cervical cancer [J]. Baillière S Clinical Obstetrics & Gynaecology, 1995, 9 (4): 675-689.
4
Spirtos NM, Schlaerth JB, Kimball RE, et al. Laparoscopic radical hysterectomy (type Ⅲ) with aortic and pelvic lymphadenectomy [J]. American Journal of Obstetrics & Gynecology, 1996, 174(6): 1763-1768.
5
杨纪实,周留林,王君,等. 腹腔镜下腹主动脉旁淋巴结清扫在子宫内膜癌治疗中可行性[J]. 实用临床医药杂志,2015, 19(5): 64-66.
6
曾威,徐文生,徐红,等. 宫颈癌根治术中加行腹主动脉旁淋巴结切除在ⅠB2及ⅡA2期宫颈癌治疗中的临床价值 [J]. 实用妇产科杂志,2013, 29 (3): 206-210.
7
Pomel C, Atallah D, Bouedec GL, et al. Laparoscopic radical hysterectomy for invasive cervical cancer: 8-year experience of a pilot study [J]. Gynecologic Oncology, 2003, 91 (3): 534-539.
8
Gil-Moreno A, Puig O, Pérez-Benavente MA, et al. Total laparoscopic radical hysterectomy (type Ⅱ-Ⅲ) with pelvic lymphadenectomy in early invasive cervical cancer [J]. Journal of Minimally Invasive Gynecology, 2005, 12 (2): 113-120.
9
Ptslomovitz R. Total laparoscopic radical hysterectomy and lymphadenectomy: The M. D. Anderson Cancer Center Experience [J]. Gynecologic Oncology, 2006, 102 (2): 252-255.
10
刘红,王蓉蓉,杜盟盟,等. 子宫内膜癌微创手术的研究进展[J].国际妇产科学杂志,2016, 43(1): 63-66.
11
Pomel C, Naik R, Martinez A, et al. Systematic (complete) para-aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations [J]. Bjog An International Journal of Obstetrics & Gynaecology, 2012, 119 (2): 249-253.
12
Zivanovic O, Sheinfeld J, Abu-Rustum NR. Retroperitoneal lymph node dissection (RPLND) [J]. Journal of Clinical Oncology Official Journal of the American Society of Clinical Oncology, 2008, 111 (2): 66-69.
13
杨纪实,周留林,刘琦. 腹腔镜下腹主动脉旁淋巴结清扫手术方法探讨 [J/CD]. 中华腔镜外科杂志:电子版,2015, 8 (2): 147-148.
14
Gouy S, Uzan C, Kane A, et al. A new single-port approach to perform a transperitoneal step and an extraperitoneal para-aortic lymphadenectomy with a single incision[J]. Journal of the American College of Surgeons, 2012, 214(5): 25-30.
15
周晖,卢淮武,彭永排,等. 《2015年NCCN宫颈癌临床实践指南》解读 [J]. 中国实用妇科与产科杂志,2015, 31 (3): 185-191.
16
Shah M, Lewin SN, Deutsch I, et al. Therapeutic role of lymphadenectomy for cervical cancer [J]. Cancer, 2011, 117 (2): 310-317.
17
谢玲玲,李晶,林仲秋. 美国"2014子宫肿瘤临床实践指南"解读[J]. 中国实用妇科与产科杂志,2014, 30(4): 244-248.
18
林仲秋,谢玲玲,林荣春. 《2016 NCCN子宫肿瘤临床实践指南》解读 [J]. 中国实用妇科与产科杂志,2016, 32 (2): 117-122.
19
卢淮武,王东雁,林仲秋. 《2015美国肿瘤综合协作网卵巢癌输卵管癌原发性腹膜癌临床实践指南(第1版)》解读 [J]. 中国实用妇科与产科杂志,2015, 31 (5): 378-384.
20
Kavallaris A, Kalogiannidis I, Chalvatzas N, et al. Standardized technique of laparoscopic pelvic and para-aortic lymphadenectomy in gynecologic cancer optimizes the perioperative outcomes [J]. Archives of Gynecology & Obstetrics, 2011, 283 (6): 1373-1380.
21
Köhler C, Klemm P, Schau A, et al. Introduction of transperiton eal lymphade-nectomy in a gynecologic oncology center: Analysis of 650 laparoscopic pelvic and /or paraaortic transperitoneal lymphadenec-tomies [J]. Gynecologic Oncology, 2004, 95 (1): 52-61.
22
Hong JH, Choi JS, Lee JH, et al. Can laparoscopic radical hysterectomy be a standard surgical modality in stage IA2-IIA cervical cancer [J]. Gynecologic Oncology, 2012, 127 (1): 102-106.
23
张丹丹,吴小华. 妇科恶性肿瘤腹主动脉旁淋巴结转移与临床处理 [J/CD]. 妇产与遗传:电子版,2012, 2 (3): 16-19.
24
Pomel C, Naik R, Martinez A, et al. Systematic (complete) para-aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations [J]. Bjog An International Journal of Obstetrics & Gynaecology, 2012, 119 (2): 249-253.
25
Downey RS, Sicard GA, Anderson CB. Major retroperitoneal venous anomalies: surgical considerations [J]. Surgery, 1990, 107 (4): 359-365.
26
Yeh BM, Coakley FV, Meng MV, et al. Precaval right renal arteries: prevalence and morphologic associations at spiral CT [J]. Radiology, 2004, 230 (2): 429-433.
27
阳志军,李力. 腹主动脉旁淋巴结切除术在子宫颈癌治疗中的临床价值 [J]. 中华妇产科杂志,2014, 49 (11): 875-877.
28
纪荣明,蒋尔鹏,申晓军,等. 腹部手术致乳糜漏解剖学基础的研究 [J]. 中华外科杂志,2004, 42 (14): 857-860.
29
Steiner H, Peschel R, Janetschek G, et al. Long-term results of laparoscopic retroperitoneal lymph node dissection: a single-center 10-year experience [J]. Urology, 2004, 63 (3): 550-555.
30
Yenen MC, Dede M, Alanbay I, et al. Port-site metastasis after laparoscopic extraperitoneal paraaortic lymphadenectomy for stage IIb squamous cell carcinoma of the cervix [J]. Journal of Minimally Invasive Gynecology, 2009, 16 (2): 227-230.
31
Martínez-Palones JM, Gil-Moreno A, Pérez-Benavente MA, et al. Umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy for cervical cancer: a true port-site metastasis [J]. Gynecologic Oncology, 2005, 97 (1): 292-295.
[1] 李国新, 陈新华. 全腹腔镜下全胃切除术食管空肠吻合的临床研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 1-4.
[2] 李子禹, 卢信星, 李双喜, 陕飞. 食管胃结合部腺癌腹腔镜手术重建方式的选择[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 5-8.
[3] 李乐平, 张荣华, 商亮. 腹腔镜食管胃结合部腺癌根治淋巴结清扫策略[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 9-12.
[4] 陈方鹏, 杨大伟, 金从稳. 腹腔镜近端胃癌切除术联合改良食管胃吻合术重建His角对术后反流性食管炎的效果研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 15-18.
[5] 许杰, 李亚俊, 韩军伟. 两种入路下腹腔镜根治性全胃切除术治疗超重胃癌的效果比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 19-22.
[6] 李刘庆, 陈小翔, 吕成余. 全腹腔镜与腹腔镜辅助远端胃癌根治术治疗进展期胃癌的近中期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 23-26.
[7] 刘世君, 马杰, 师鲁静. 胃癌完整系膜切除术+标准D2根治术治疗进展期胃癌的近中期随访研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 27-30.
[8] 任佳, 马胜辉, 王馨, 石秀霞, 蔡淑云. 腹腔镜全胃切除、间置空肠代胃术的临床观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 31-34.
[9] 刘柏隆, 周祥福. 女性尿失禁吊带手术并发症处理的经验分享[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 127-127.
[10] 王庆亮, 党兮, 师凯, 刘波. 腹腔镜联合胆道子镜经胆囊管胆总管探查取石术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 313-313.
[11] 杨建辉, 段文斌, 马忠志, 卿宇豪. 腹腔镜下脾部分切除术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 314-314.
[12] 叶劲松, 刘驳强, 柳胜君, 吴浩然. 腹腔镜肝Ⅶ+Ⅷ段背侧段切除[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 315-315.
[13] 郭兵, 王万里, 何凯, 黄汉生. 腹腔镜下肝门部胆管癌根治术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 143-143.
[14] 李凯, 陈淋, 苏怀东, 向涵, 张伟. 超微创器械在改良单孔腹腔镜巨大肝囊肿开窗引流及胆囊切除中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 144-144.
[15] 魏丽霞, 张安澜, 周宝勇, 李明. 腹腔镜下Ⅲb型肝门部胆管癌根治术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 145-145.
阅读次数
全文


摘要