Pelvic lymph node dissection via a lateral extraperitoneal approach: Description of a technique

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• 作者：Denis Querleu ; Gwenael Ferron ; Arash Rafii ; Emilie Bouissou ; Martine Delannes ; Eliane Mery ; Laurence Gladieff
• 关键词：Cervical cancer ; Lymphadenectomy ; Extraperitoneal dissection ; Staging
• 刊名：Gynecologic Oncology
• 出版年：2008
• 出版时间：April 2008
• 年：2008
• 卷：109
• 期：1
• 页码：81-85
• 全文大小：441 K

文摘

Locally advanced cervical cancers are generally managed by radiation and chemotherapy. Pretherapeutic laparoscopic assessment of aortic nodes in patients with locally advanced cervical cancer offers valuable information for individualized treatment planning with minimal morbidity when the extraperitoneal approach is used. Although the pioneers of the technique proposed to sample only the aortic and common iliac nodes, there is growing evidence that concomitant radiation and chemotherapy does not control all the diseased pelvic nodes. As a result, diseased but not fixed pelvic nodes amenable to an attempt at laparoscopic removal should be debulked during the staging surgery. The objective of this paper is to describe a new development of the extraperitoneal endosurgical approach.