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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 555 - 559 (5page)
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초록· 키워드
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ObjectiveThe pelvic lymphatic drainage system comprises the upper and lower paracervical pathways (LPPs). Lymph nodedissection of the LPP, including the cardinal ligament, internal iliac, internal common iliac, and presacral lymph nodes,requires higher surgical skills because of the anatomical limitations of the pelvic cavity and the dissection of vesselswhile preserving the nerves in the pelvic floor. In this video, we demonstrate rectal mobilization for laparoscopiccomplete pelvic lymph node dissection of the LPP in patients with uterine cancer.
MethodsRectal mobilization was performed before complete pelvic lymph node dissection of the LPP. The pararectal space wasopened widely and the connective tissue between the presacral fascia and prehypogastric nerve fascia was dissectedbilaterally, allowing the rectum to be pulled.
ResultsThis procedure created a wide-open space in the pelvic floor, allowing clear visualization of the nerves and lymphnodes of the LPP. Laparoscopic complete lymph node dissection of the LPP was performed in the open space whilepreserving the hypogastric and pelvic splanchnic nerves and isolating the extensive network of blood vessels in thepelvic cavity.
ConclusionRectal mobilization enabled the safe execution of laparoscopic complete pelvic lymph node dissection of the LPP inpatients with uterine cancer.
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등록된 정보가 없습니다.
참고문헌 (7)
참고문헌 신청
Geppert B / 2017 / A study on uterine lymphatic anatomy for standardization of pelvic sentinel lymph node detection in endometrial cancer / Gynecol Oncol 145:256~261
Persson J / 2017 / Description of a reproducible anatomically based surgical algorithm for detection of pelvic sentinel lymph nodes in endometrial cancer / Gynecol Oncol 147:120~125
Querleu D / 2008 / Classification of radical hysterectomy / Lancet Oncol 9:297~303
Van den Tillaart SA / 2011 / Patterns of parametrial involvement in radical hysterectomy specimens of cervical cancer patients / Int J Gynecol Pathol 30:185~192
Zhao D / 2020 / Separate lateral parametrial lymph node dissection improves detection rate of parametrial lymph node metastasis in early-stage cervical cancer : 10-year clinical evaluation in a single center in China / Chin J Cancer Res 32:804~814
Persson J / 2017 / Description of a reproducible anatomically based surgical algorithm for detection of pelvic sentinel lymph nodes in endometrial cancer / Gynecol Oncol 147:120~125
Querleu D / 2008 / Classification of radical hysterectomy / Lancet Oncol 9:297~303
Van den Tillaart SA / 2011 / Patterns of parametrial involvement in radical hysterectomy specimens of cervical cancer patients / Int J Gynecol Pathol 30:185~192
Zhao D / 2020 / Separate lateral parametrial lymph node dissection improves detection rate of parametrial lymph node metastasis in early-stage cervical cancer : 10-year clinical evaluation in a single center in China / Chin J Cancer Res 32:804~814
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