Laterally extended parametrectomy (LEP), the technique for radical pelvic side wall dissection:: Feasibility, technique and results
Laterally extended parametrectomy (LEP), the technique for radical pelvic side wall dissection:: Feasibility, technique and results
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DOI：
10.1111/j.1525-1438.2003.13043.x
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发表时间：
2003-11-01
影响因子：
4.8
通讯作者：
Ungár, L
中科院分区：
文献类型：
--
作者：
Pálfalvi, L;Ungár, L
介绍了一种新的手术方法，用于治疗Ib淋巴结阳性和IIb型宫颈癌患者。侧切平面对应于真实的骨盆侧壁，该平面由内闭孔肌、臀线和梨状肌与骶丛的会聚分支代表。LEP手术克服了标准III-IV类根治性子宫切除术的局限性，保留了臀上级、下级和阴部淋巴结，从而提高了局部控制和生存率。
A new surgical method was introduced for the treatment of Ib lymph node positive and IIb cervical cancer patients. The lateral resection plane corresponds to the true pelvic side wall, the plane represented by the internal obturator muscle, the linea arcuata, and the piriformis muscle with the convergent branches of the sacral plexus. The LEP procedure overcomes the limitations of the standard class III-IV radical hysterectomy, which leaves in situ the gluteal superior, inferior and pudendal nodes, thus improving local control and survival.