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腹膜后淋巴结转移是影响妇科恶性肿瘤预后的重要因素之一。在妇科恶性肿瘤的治疗中,腹主动脉旁淋巴结的评估尤为重要。腹主动脉旁淋巴结切除术是判断腹主动脉旁淋巴结转移的金标准。近年来腹腔镜下腹膜外腹主动脉旁淋巴结切除(PAL)已成为妇科恶性肿瘤的研究热点。从腹膜后间隙解剖及妇科肿瘤腹主动脉旁淋巴结转移特点入手,综合分析国内外腹主动脉旁淋巴结切除和经腹膜外腹主动脉旁淋巴结切除的相关研究及其意义,不同学者对经腹膜外腹主动脉旁淋巴结切除的观点不尽相同,其临床价值有待进一步研究。
Retroperitoneal lymph node metastasis is an important factor affecting the prognosis of gynecologic malignancies. In the treatment of gynecological malignancies, the assessment of paraaortic lymph nodes is particularly important. Abdominal para-aortic lymph node dissection is to determine the gold standard of lymph node metastasis of the abdominal aorta. In recent years, laparoscopic extraperitoneal abdominal aortic lymph node dissection (PAL) has become a research focus of gynecologic malignancies. From the retroperitoneal space dissection and gynecological tumor characteristics of para-aortic lymph node metastasis to start with a comprehensive analysis of the para-aortic para-aortic lymph node resection and extra-abdominal para-aortic lymph node resection related research and its significance, different scholars of extraperitoneal Abdominal aortic lymph node resection point of view vary, its clinical value needs further study.