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首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >A modified technique to perform para-aortic lymphadenectomy up to the renal vein
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A modified technique to perform para-aortic lymphadenectomy up to the renal vein

机译：对肾静脉执行糖尿病淋巴结切除术的修饰技术

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ObjectiveTo investigate the safety and feasibility of our modified technique to perform lymph node excision up to the renal vein in cases of gynecological cancer.Materials and methods87 patients with endometrial or ovarian neoplasms underwent laparoscopic para-aortic lymphadenectomy (LPAL) up to the left renal vein were enrolled prospectively. During surgery, the surgeon was positioned to the right side of the patient and an additional trocar was introduced into the upper right abdomen. The laparoscopic video screen was placed to the side of the patient's head. Three-fan retractor forceps were used to hold up the duodenum and small bowel. The rest of the procedure was the same as conventional LPAL.ResultsThe median operating time for LPAL was 72?min (range: 40–115?min) and the median estimated blood loss was 45?ml (range: 15–1000?mL). There were two cases of intra-operative vascular injury. The median number of retrieved para-aortic lymph nodes (PALNs) was 18 (range: 10–37). Of the 87 patients, 11 patients had positive PALNs. None of the cases required laparotomy.ConclusionOur findings demonstrate that our modified LPAL technique is feasible, reproducible, can achieve good exposure and reduces surgical difficulty.
机译：ObjectiveTo调查我们改性技术的安全性和可行性，在妇科癌症病例中对肾静脉进行淋巴结切除的安全性和可行性。治疗子宫内膜或卵巢肿瘤患者的腹腔镜对齐淋巴结切除术（LPAL）直至左肾静脉被宣传了。在手术过程中，外科医生定位在患者的右侧，并将另外的套管针引入右上腹。腹腔镜视频屏幕被放置在患者头部的一侧。三扇牵发器钳用于占据十二指肠和小肠。其余的程序与常规LPAL的过程相同。LPAL的中值操作时间为72？min（范围：40-115？min），中位数估计失血为45？ml（范围：15-1000？ml） 。有两种术语血管损伤。检索到的帕拉主动脉淋巴结（Palns）的中值数为18（范围：10-37）。在87名患者中，11名患者有阳性帕尔斯。无需曲调术曲调术。结论ur调查结果表明，我们改性的LPAL技术是可行的，可重复的，可实现良好的曝光并降低手术难度。

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