关键词: 妇科肿瘤, 盆腔淋巴结切除, 腹主动脉旁淋巴结切除, 并发症

Abstract:

Retroperitoneal lymph node dissection，including pelvic and para-aortic lymphadenectomy，is of great importance in gynecological malignancies treatment.Lymphadenectomy can be performed via transperitoneal or extraperitoneal route.The surgical approach used for a lymphadenectomy procedure in gynecological oncology is typically determined by the best approach for the total procedure，patient characteristics and surgeon’s experience.Surgery needs to be operated by an experienced gynecologic oncologist.The most frequent intraoperative and postoperative complication is vascular injury，followed by ureteral injury，bowel injury，neurologic injury，or perioperative infection.Late-postoperative complications consist mainly of symptomatic lymphatic lymphocyte（SPOL）  and lower extremity lymphedema（LEL）.Several techniques may decrease the incidence of SPOL and LEL.Thus，energy equipment should be rationally used during the procedure，the peritoneum should be left open and tube drains should be avoided.

Key words: gynecological malignancy, pelvic lymphadenectomy, paraaortic lymphadenectomy, complication