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尽管40%以上的晚期卵巢癌二探术阴性,并被认为达到病理完全缓解,但其中有20%～50%最终仍表现为复发。对于第一次减瘤术未进行淋巴结状况评估者,应在二探术时行系统性盆腔和腹主动脉旁淋巴结清扫。目的在于施行二次减瘤术,了解化疗后淋巴结状况及后腹膜病变情况。 回顾性分析了1974年1月～1993年12月收治的58例二探术时系统性盆腔和腹主动脉旁淋巴结清扫的病例,中位年龄51岁。68.9%(40/58)为晚期卵巢癌(FIGOⅡ、Ⅲ、Ⅳ期),浆液性癌占
Although more than 40% of advanced ovarian cancer tests were negative and considered to achieve pathological complete remission, 20% to 50% of them eventually showed recurrence. For those who did not perform lymph node status assessment for the first cytoreductive surgery, systematic pelvic and paraaortic lymph node dissection should be performed during the second exploration. The purpose is to perform secondary cytoreductive surgery to understand the status of lymph nodes after chemotherapy and retroperitoneal lesions. Retrospective analysis was performed on 58 cases of systemic pelvic and paraaortic lymph node dissection during the first two sessions from January 1974 to December 1993. The median age was 51 years. 68.9% (40/58) of advanced ovarian cancer (FIGOII, III, IV), serous carcinoma