経腹膜的腹腔鏡下傍大動脈リンパ節摘出術の実際

概要

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Para-aortic lymphadenectomy up to the renal vein is the standard surgical treatment for patients with a recurrence risk of endometrial cancer. We report detailed steps of a transperitoneal laparoscopic para-aortic lymphadenectomy surgical technique. This procedure was performed in 19 patients with endometrial, cervical and ovarian cancers as a staging surgery. The median number of retrieved para-aortic lymph nodes based on the extent of lymphadenectomy from patients with cervical (up to 326B2) and endometrial/ovarian cancer (up to 326B1) was 15 and 25, respectively. Blood loss was 162 ml in patients with endometrial/ovarian cancer and 5 ml in patients with cervical cancer. No intra-operative complications occurred in this series. This feasible, safe transperitoneal para-aortic lymphadenectomy procedure should be considered if laparoscopic surgery, including para-aortic lymphadenectomy, is a surgical treatment option.
日本産科婦人科内視鏡学会の論文