腹膜后淋巴结清扫术在妇科恶性肿瘤治疗中的演变

The Evolution of Retroperitoneal Lymph Node Disection in Gynecologic Malignancies

淋巴结转移是妇科恶性肿瘤转移的主要方式之一,在妇科恶性肿瘤分期及预后判断中具有重要作用。近年来,盆腔及腹主动脉旁淋巴结清扫术已被普遍应用。随着临床研究结果的不断积累,许多学者对其指征和切除范围提出异议。全文旨在综述近30年来这方面的一些争议,以供临床医生作为选择治疗决策的参考。

Lymphatic metastasis is one of the important ways of gynecological malignant tumor metastasis and plays a crucial role in the staging and estimating prognosis of gynecological malignancies. In recent years,the pelvic and aortic lymph node dissection has been widely performed.As the accumulation of data of clinical trial,retroperitoneal lymph node dissection remains debatable in its indications and range of resection. This review is aimed to summarize the changing of retroperitoneal lymphadenectomy in recent 30 years and expected to provide the gynecologic oncologists with taking into account of strategy of the treatment.