[1]张婷 秦珊珊 郁胜胜 于鹃鹏 宋禹辰 高迎春*.腹腔镜C型宫颈癌根治术中一种安全的寻找子宫深静脉的方法[J].中国微创外科杂志,2022,01(3):260-264.
　Zhang Ting,Qin Shanshan,Yu Shengsheng,et al.A Safe Approach to Identify the Deep Uterine Vein in Laparoscopic Radical Hysterectomy[J].Chinese Journal of Minimally Invasive Surgery,2022,01(3):260-264.
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腹腔镜C型宫颈癌根治术中一种安全的寻找子宫深静脉的方法()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2022年3期
页码:
260-264
栏目:
经验交流
出版日期:
2022-06-02

文章信息/Info

Title:
A Safe Approach to Identify the Deep Uterine Vein in Laparoscopic Radical Hysterectomy
作者:
张婷 秦珊珊 郁胜胜 于鹃鹏 宋禹辰 高迎春*
(南京医科大学附属淮安第一医院妇科，淮安223300)
Author(s):
Zhang Ting;  Qin Shanshan;  Yu Shengsheng;  et al.
Department of Gynecology, Affiliated Huai’an First People’s Hospital of Nanjing Medical University, Huai’an 223300, China
关键词:
宫颈癌; 广泛性子宫切除术; 子宫深静脉; 腹腔镜
Keywords:
Cervical cancer; Radical hysterectomy; Deep uterine vein; Laparoscopy
文献标志码:
B
摘要:
目的介绍一种腹腔镜宫颈癌根治术中在手术一开始寻找子宫深静脉的方法。方法2021年2~8月采用以下方法完成17例：①建立通道后，在阔韧带后叶定位输尿管，打开输尿管正上方表面腹膜，分离输尿管周围筋膜组织；②提起输尿管继续向膀胱方向分离其背侧筋膜直达盆底，逐渐暴露子宫深静脉；③将包绕子宫深静脉周围的宫旁淋巴结组织切除，单独送病理；④继续向膀胱方向追踪子宫深静脉，可以看到其属支膀胱上静脉；⑤血管夹双重夹闭子宫深静脉及其属支和膀胱上静脉。以后步骤同常规方法。结果17例均顺利完成，其中5例行保留神经的宫颈癌手术。无中转开放手术，无并发症发生。结论腹腔镜宫颈癌根治术开始时直接定位子宫深静脉的方法安全、简便，值得推广。
Abstract:
ObjectiveTo promote a safe approach to identify the deep uterine vein in laparoscopic radical hysterectomy.MethodsFrom February 2021 to August 2021, 17 operations were completed by the following methods: ①After establishing the operation channel, the ureter was identified in the posterior lobe of the broad ligament, and the peritoneum was dissected directly above the ureter to separate the fascia around the ureter; ②The ureter was lifted for further separating its dorsal fascia to the bladder, and through the opening of the space below the ureter in a cranial to caudal direction, the deep uterine vein could be easily identified; ③The parametrial lymph nodes surrounding the deep uterine veins were resected and sent to pathology alone; ④The superior bladder vein was located by tracing the deep uterine vein to the bladder; ⑤The deep uterine vein, its tributaries and superior bladder vein were clipped by vascular clamp. The following steps were the same as the conventional method.ResultsAll the 17 surgeries were completed smoothly, including 5 cases of nervesparing radical hysterectomy. No conversion to open surgery or complications was required.ConclusionThis direct approach to identify the deep uterine vein in laparoscopic radical hysterectomy can be easily and safely performed, being worthy of popularizing.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，Email：gych691222@163.com
更新日期/Last Update: 2022-06-02