摘要
目的:总结单孔腹腔镜泌尿生殖筋膜(urogenital fascia，UGF)两翼法腹主动脉旁淋巴结切除术在子宫内膜癌手术治疗中的临床效果及优势。方法:回顾性分析2023年7月在武汉大学中南医院妇科的1例行经脐单孔腹腔镜子宫内膜癌分期手术的患者临床资料。患者术前诊断：子宫内膜样腺癌ⅠB期(G3)，子宫肌瘤，2型糖尿病，贫血(轻度)。行单孔腹腔镜腹主动脉旁淋巴结切除术、盆腔淋巴结切除术、筋膜外子宫切除术及双侧输卵管卵巢切除术。结果:患者手术顺利，未加辅助孔，术中出血量少，术后无感染、出血、乳糜漏等并发症，恢复顺利。结论:单孔腹腔镜UGF两翼法腹主动脉旁淋巴结切除术因为良好的术野暴露，可以显著降低腹主动脉旁淋巴结切除术手术难度，同时降低术中对周围脏器的副损伤，减少术后并发症。
Abstract
Objective:To summarize the clinical effect and advantage of single-port laparoscopic UGF two-wings para-aortic lymphadenectomy on the treatment of endometrial carcinoma.Methods:A retrospective analysis was conducted of 1 patients with endometrial carcinoma in stage IB (G3) from the Zhongnan Hospital of Wuhan University on Jul. 2023.The patient was diagnosed as endometrioid adenocarcinoma stage IB (G3), uterine fibroids, type 2 diabetes mellitus and anemia (mild). Single-port laparoscopic para-aortic lymphadenectomy, pelvic lymphadenectomy, epifascial hysterectomy, and bilateral salpingo-oophorectomy were performed.Results:The surgery went well. Intraoperative bleeding was low during surgery and no postoperative complications such as infection, bleeding, and celiac leakage. Patient recovering well after surgery.Conclusion:For the reason that good surgical field exposure, single-port laparoscopic UGF two-wings para-aortic lymphadenectomy can not only greatly reduce the difficulty of para-aortic lymphadenectomy, but also reduce both the collateral damage to peripheral organs during surgery and reduce postoperative complications.
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