中国实用妇科与产科杂志

中国实用妇科与产科杂志

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腹腔镜妇科恶性肿瘤淋巴结清扫术中并发症及处理

康山   

  1. 作者单位：河北医科大学第四医院妇产科，河北 石家庄 050019
  • 出版日期:2015-05-02 发布日期:2015-05-13

Complications and their management in lymphadenectomy for laparoscopic gynecologic malignancies.

KANG Shan .   

  1. Fourth Hospital，Hebei Medical University,Shijiazhuang 050019, China
  • Online:2015-05-02 Published:2015-05-13

摘要：

腹腔镜下的盆腔和腹主动脉旁淋巴结切除术以其干净、彻底、视野暴露充分、出血少而著称，在妇科三大恶性肿瘤的手术中应用的越来越广泛，但其相关并发症尤其是术中静脉的损伤并未减少，补救的方法与传统开腹手术有所不同。腹腔镜手术中出现的静脉损伤绝大多数可在镜下得到及时有效的修补，无需中转开腹进行修补。补救的方法有直接缝合法和止血材料外加后腹膜缝合加压固定法。

关键词: 腹腔镜, 恶性肿瘤, 并发症

Abstract:

Abstract:Laparoscopic pelvic and para-aortic lymphadenectomy, which is more and more widely used in surgeries of the three most common gynecologic malignant tumors, is known for its clean and fully exposing surgical field, thorough dissection and less surgical bleeding. However, its compilations have not decreased, especially intraoperative vein injuries. Methods of laparoscopic repairing include direct suture and posterior peritoneum suture after padding hemostatic materials,which can repair most vein injuries during laparoscopy without additional open surgery.

Key words: laparoscopy, malignant tumors, complication

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