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A new technique of laparoscopic para-aortic lymphadenectomy optimizes perioperative outcome
Yonghong Lin,Li He,Youwen Mei 대한부인종양학회 2021 Journal of Gynecologic Oncology Vol.32 No.1
Objective: The aim of the present study was to introduce a new technique for laparoscopicpara-aortic lymphadenectomy (PAL): an invented retroperitoneum suspension needlecombined with modified trocar placement. Methods: This prospective pilot study randomly categorized women with cervical cancerof stage I–II into 2 groups. The patients in the study group would have laparoscopic PALwith our new technique, while those in the control group with control method. Patients'characteristics and perioperative outcomes were compared between the 2 groups. Results: A total of 37 patients were included in our study, of which 20 cases in the studygroup and 17 cases in the control group. As a result, the mean number of para-aortic lymphnodes (PALNs) resected in the study group was significantly more than that in the controlgroup (p<0.001). The time for resecting PALNs (p<0.001) and total operative time (p<0.001)in the study group decreased significantly than those in the control group. Conclusions: For laparoscopic PAL, this new technique was effective and practical.
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