单孔腹腔镜在妇科恶性肿瘤腹膜后淋巴结切除术中的应用及研究进展
Application and research progress of single-port laparoscopy in retroperitoneal lymphadenectomy for gynecologic malignancies.
摘要(中文译文)
腹膜后淋巴结切除术已广泛应用于妇科肿瘤患者的外科治疗中，以根除区域性疾病、提高分期准确性并指导辅助治疗。尽管多孔腹腔镜手术和开腹手术均能有效完成腹膜后淋巴结清扫，但二者均与较大的手术创伤和较长的术后恢复相关，尤其在肥胖患者和有既往手术史的患者中更为明显。相比之下，单孔腹腔镜手术是腹膜后淋巴结切除术的一种创新性替代手术方式。该技术可提供潜在优势，如改善美容效果、减轻术后疼痛、加快恢复以及改善术后生活质量。然而，单孔腹腔镜腹膜后淋巴结切除术仍存在争议。本文对单孔腹腔镜用于妇科恶性肿瘤腹膜后淋巴结切除术的现有证据进行了叙述性临床综述，并辅以结构化文献综述和所选比较研究的定量综合。主要关注点包括困难分离过程中周围器官损伤的风险、淋巴结切除的完整性、患者生存获益、合适的患者选择以及学习曲线。本综述总结了单孔腹腔镜腹膜后淋巴结切除术的关键解剖学考量、当前手术技术和器械进展、持续存在的技术挑战以及未来发展方向。
Abstract
Retroperitoneal lymphadenectomy has been widely used to eradicate locoregional disease, improve staging accuracy, and guide adjuvant therapy in the surgical treatment of gynecologic oncological patients. Although multi-port laparoscopy and open surgery can both effectively achieve retroperitoneal lymph node dissection, they are associated with greater surgical trauma and longer postoperative recovery, particularly in obese patients and those with prior surgical histories. In contrast, single-port laparoscopy is an innovative alternative surgical approach for retroperitoneal lymphadenectomy. This technique can offer potential advantages, such as improved cosmetic outcomes, reduced postoperative pain, faster recovery, and improvements in postoperative quality of life. Nonetheless, single-port laparoscopic retroperitoneal lymphadenectomy remains controversial. This article provides a narrative clinical review of the current evidence on single-port laparoscopy for retroperitoneal lymphadenectomy in gynecologic malignancies and is supplemented by a structured literature review and quantitative synthesis of selected comparative studies. Major concerns include the risk of injury to surrounding organs during difficult dissections, the completeness of lymph node removal, patient survival benefits, appropriate patient selection, and the learning curve. This review summarizes key anatomical considerations, current surgical techniques, and advancements in instrumentation, ongoing technical challenges, and future directions of single-port laparoscopic retroperitoneal lymphadenectomy.
如何引用
AMA
Ruinan Song, Jiaqiang Xiong, Rourou Xiao, Yuexiong Yi, Jing Cheng, Xiwen Wang, et al. Application and research progress of single-port laparoscopy in retroperitoneal lymphadenectomy for gynecologic malignancies.. Frontiers in oncology. 2026; doi:10.3389/fonc.2026.1824243.
APA
Ruinan Song, Jiaqiang Xiong, Rourou Xiao, Yuexiong Yi, Jing Cheng, Xiwen Wang, et al (2026). Application and research progress of single-port laparoscopy in retroperitoneal lymphadenectomy for gynecologic malignancies.. Frontiers in oncology. https://doi.org/10.3389/fonc.2026.1824243
GB/T 7714
Ruinan Song, Jiaqiang Xiong, Rourou Xiao, Yuexiong Yi, Jing Cheng, Xiwen Wang, et al. Application and research progress of single-port laparoscopy in retroperitoneal lymphadenectomy for gynecologic malignancies.[J]. Frontiers in oncology, 2026 doi:10.3389/fonc.2026.1824243.
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