宫颈癌腹腔镜腹主动脉旁淋巴结切除术的手术入路及解剖

Surgical approaches and anatomy of laparoscopic para-aortic lymph node dissection for cervical cancer

淋巴结转移是影响宫颈癌预后的最重要的因素之一,特别是腹主动脉旁淋巴结的转移决定了宫颈癌的后续治疗方式及中晚期的放疗的照射范围。随着腹腔镜微创技术的广泛开展,腹腔镜腹主动脉旁淋巴结切除术已日趋完善。笔者就其手术入路的技术要点及相关解剖等做一简要综述。

Metastasis of lymph node is the one of the most important factors affecting the prognosis of cervical cancer. Metastasis of para-aortic lymph node decide the follow-up treatment of cervical cancer and the range of the middle-late radiation exposure. As laparoscopic minimally invasive techniques are extensively developed, laparoscopic para-aortic lymphadenectomy has been gradually perfect. In this paper, a brief overview was made on the main technical points of the surgical approach and relevant anatomy.