Deep Common Iliac Region Lymphadenectomy by Laparoscopic Surgery and Its Clinical Value in Uterine Malignancy
- VernacularTitle:腹腔镜下髂总深部淋巴结切除及其在子宫恶性肿瘤中的临床价值
- Author:
Xiao-Mao LI
1
;
Yu ZHANG
;
Yue-Bo YANG
;
Li FANG
;
Ying-Xiang WANG
;
Hui-Xia YE
Author Information
1. 中山大学附属第三医院妇产科
- Keywords:
laparoscopic sursery;
deep common iliac region lymph nodes;
gynecologic malignancies;
pelvic lymph nodes dissection
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2018;39(2):309-314
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To investigate the value of deep common iliac region lymphadenectomy in treatment of uterine malignancies.[Methods]88 patients with deep common iliac region lymphadenectomy in Third affiliated hospital of sun yat-sen university from March 2016 to June 2017 were enrolled in this study. The number of removed lymph nodes、metastatic lymph nodes、operative complication and so on were analyzed.[Results]The number of pelvic lymph nodes resection is from 18 to 52,the average is 26;the number of deep common iliac region lymph nodes resection is from 2 to 16,the average is 5. The number of pelvic lymph node metastasis is 11 and the rate is 12.5%;the number of deep common iliac region lymph node metastasis is 3,accounting for 27.3% of the total number of pelvic lymph node metasta-sis,which alone deep common iliac region lymph node positive in 1 case,9.0% of the total number of pelvic lymph node metastasis.The average operation time of single pelvic lymph node resection was 43 min and that of single deep common iliac region lymph nodes was 10 min.There was no severe complication.[Conclusion]Deep common iliac region lymphad-enectomy is feasibility and safety,27%of patients with pelvic lymph node metastasis has positive deep common iliac region lymph nodes,and we believe that the promotion and application of deep common iliac region lymphadenectomy can further improve the therapeutic effect of uterine malignancy.
