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本文总结了多位妇科肿瘤专家兼腹腔镜手术医师的研究结果,提出腹腔镜宫颈癌根治术在淋巴结切除数目、手术范围、手术时间、术中失血量、住院时间及术中术后并发症等方面与开腹手术相似;腹腔镜淋巴结切除术对晚期宫颈癌的放疗和综合治疗有一定的指导作用。但此类手术在预后效果和临床推广方面尚有争议,有待长期大量资料积累和预后观察,建议在这一过程中应谨慎地进行这类手术。
This article summarizes the results of a number of gynecological oncologists and laparoscopic surgeons, and proposes the number of lymph node resection, scope of surgery, operation time, intraoperative blood loss, length of hospital stay, intraoperative and postoperative complications, etc. for laparoscopic radical cervical cancer. Similar to laparotomy, laparoscopic lymph node dissection has certain guiding effects on radiotherapy and comprehensive treatment of advanced cervical cancer. However, there are controversies regarding the outcomes and clinical extension of such surgeries. It is expected that a large amount of data will be accumulated over a long period of time and the prognosis will be observed. It is recommended that such surgeries should be carried out cautiously in this process.