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腹膜后淋巴结切除术是卵巢癌初次手术治疗的重要组成部分,其临床意义主要在于:(1)切除转移的淋巴结以达到减瘤的目的;(2)准确分期或明确淋巴结是否存在转移病灶,以指导术后辅助治疗。由于影像学检查不能准确判断腹膜后淋巴结是否存在转移,手术切除进行病理检查依然是判断淋巴结状态的最准确方法。然而,卵巢癌淋巴结切除的意义和范围一直存有争议。一、卵巢癌的淋巴结转移率卵巢的淋巴引流除了沿子宫阔韧带引流至盆腔淋巴结外,还可沿骨盆漏斗韧带向上引流至腹主
Retroperitoneal lymph node dissection is an important part of the initial surgical treatment of ovarian cancer, and its clinical significance mainly lies in: (1) the removal of metastatic lymph nodes in order to achieve the purpose of reducing the tumor; (2) accurately staging or clear lymph node metastases, Guided postoperative adjuvant therapy. As the imaging examination can not accurately determine the presence of retroperitoneal lymph node metastasis, surgical resection for pathological examination is still the most accurate way to determine the status of lymph nodes. However, the significance and scope of lymph node dissection in ovarian cancer has been controversial. First, the lymph node metastasis rate of ovarian cancer Lymphatic drainage of the ovary in addition to drainage along the uterine ligamentous broad ligament to the pelvic lymph nodes, but also along the pelvic funnel ligament up drainage to the abdomen