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1994年8月～1996年10月间德国Jena 84例诊断为原发性宫颈癌的患者,FIGO分期为IA_1—Ⅳ期,均在腹腔镜下进行了主动脉两旁淋巴结切除术以行手术分期。59例行盆腔和主动脉旁淋巴结切除术。其中56例同时进行腹腔镜辅助的根治性阴式子宫切除术;另2例行根治性阴式宫颈切除术。右侧主动脉旁淋巴结切除术达到右卵巢静脉入口水平,左侧达到肠系膜下动脉水平。所有右侧主动脉旁淋巴结均行冰冻切片检查,而左侧和盆腔淋巴结及宫旁淋巴结仅在手术探查和疑诊转移癌时进行冰冻切片检
Between August 1994 and October 1996, 84 patients with primary cervical cancer were diagnosed as having cervical cancer in Jena, Germany. The FIGO stage was stage IA_1-Ⅳ. All patients underwent laparoscopic aortic two-node lymphadenectomy for surgical staging. 59 cases of pelvic and para-aortic lymph node resection. Among them, 56 cases underwent laparoscopic radical vaginal hysterectomy at the same time; the other 2 cases underwent radical vaginal cervical resection. Right para-aortic lymph node dissection reached the right ovarian vein entrance level, to the left to reach the level of the inferior mesenteric artery. All right aortic lymph nodes were frozen section examination, and the left and pelvic lymph nodes and palatopral lymph nodes only in surgical exploration and suspect metastatic cancer frozen biopsy