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中华腔镜外科杂志(电子版) ›› 2023, Vol. 16 ›› Issue (04) : 210 -215. doi: 10.3877/cma.j.issn.1674-6899.2023.04.003

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妇科恶性肿瘤手术治疗中淋巴结的去与留
韩钦, 尚春亮, 贾芃, 郭红燕()   
  1. 100191 北京大学第三医院妇科
    100034 北京大学第一医院妇科
  • 收稿日期:2023-07-20 出版日期:2023-08-30
  • 通信作者: 郭红燕
  • 基金资助:
    国家重点研发计划(2022YFB3604704); 北京大学第三医院院临床重点项目人才项目C类(BYSYZD2021046)

Removal and retention of lymph nodes in surgical treatment of gynecological malignant tumors

Qin Han, Chunliang Shang, Peng Jia   

  • Received:2023-07-20 Published:2023-08-30
引用本文:

韩钦, 尚春亮, 贾芃, 郭红燕. 妇科恶性肿瘤手术治疗中淋巴结的去与留[J/OL]. 中华腔镜外科杂志(电子版), 2023, 16(04): 210-215.

Qin Han, Chunliang Shang, Peng Jia. Removal and retention of lymph nodes in surgical treatment of gynecological malignant tumors[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2023, 16(04): 210-215.

淋巴结在妇科恶性肿瘤诊治中一直扮演着重要的角色。从诊断价值考虑,淋巴结切除是评估淋巴结是否转移的一种方法;从治疗价值考虑,切除转移的淋巴结是减瘤手术的一部分。但这是否可以转化成生存获益?随之而来的副损伤、并发症与临床获益又如何?妇科恶性肿瘤治疗中淋巴结的去与留这一话题一直争议不断。本文对妇科三大常见恶性肿瘤:卵巢癌、宫颈癌及子宫内膜癌治疗中淋巴结处理的相关研究进行综述并阐述笔者团队的观点。

图1 开腹卵巢癌肿瘤细胞减灭术中切除淋巴结后术野
图2 宫颈癌患者术中肿大淋巴结
图3 宫颈癌手术中前哨淋巴结显影
图4 子宫内膜癌患者分期手术中行盆腔淋巴结清扫(达芬奇机器人手术)
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