中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

腹腔镜下保留盆腔自主神经广泛性子宫切除术

吴鸣马水清谭先杰,沈铿,郎景和   

  1. 作者单位:中国医学科学院 北京协和医学院 北京协和医院妇产科,北京100730
  • 出版日期:2013-12-02 发布日期:2013-12-02

  • Online:2013-12-02 Published:2013-12-02

摘要:

由于通过腹腔镜可以十分清晰地观察盆腔内的解剖结构,所以更加有利于进行保留盆腔自主神经广泛性子宫切除术,归纳起来腹腔镜下保留盆腔自主神经广泛性子宫切除术的技术要点主要包括5个主要环节:(1)腹主动脉旁淋巴结切除时避免损伤腰内脏神经。(2)骶前淋巴结切除时避免损伤上腹下丛。(3)处理主韧带时避免损伤盆腔内脏神经。(4)切断宫骶韧带时避免损伤腹下神经。(5)处理膀胱宫颈韧带和膀胱阴道韧带时避免损伤下腹下神经。

关键词: 宫颈癌:保留盆腔自主神经广泛性子宫切除术, 腹腔镜

Abstract:

Abstract:Laparoscope is more conductive to completing nerve sparing radical hysterectomy as pelvic anatomy can be very clearly observed during operation. The technique for LNSRH can be summarized to five key steps below:(1)to avoid the lumbar splanchnic nerves injury during para-aortic lymph node dissection.(2)to avoid the superior hypogastric plexus injury during presacral lymph node dissection.(3)to avoid the pelvic splanchnic nerve injury during handling the basal ligament.(4)to avoid the hypogastric plexus injury during uterosacral ligament transection.(5)to avoid the inferior hypogastric nerve injury during handling the vesico-cervical ligament. 

Key words: cervical cancer, nerve-sparing radical hysterectomy, laparoscopy

中图分类号: