各种根治性子宫切除术的侧面解剖线与女性骨盆解剖结构之间的关系:札幌尸体手术工作坊的教育视频。

IF 3.7 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Hiroyuki Kanao, Masato Tamate, Motoki Matsuura, Sachiko Nagao, Miseon Nakazawa, Shutaro Habata, Tsuyoshi Saito
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引用次数: 0

摘要

目的:根治性子宫切除术联合盆腔淋巴结清扫术是治疗宫颈癌的首选方法。所有妇科肿瘤科医师都应掌握这项技术。手术过程需要对女性骨盆进行大面积解剖。在没有充分了解女性骨盆解剖的情况下进行根治性子宫切除术可能会导致严重的并发症。对于新手外科医生安全进行子宫根治术,掌握骨盆的三维解剖,使子宫根治术的解剖线与女性骨盆解剖结构对齐是至关重要的。缺乏证明根治性子宫切除术中解剖线与周围盆腔结构之间解剖关系的教材。我们的目标是制作教材来克服这些问题。方法:腹腔镜下神经保留、非神经保留和超根治性子宫切除术,暴露关键骨盆解剖结构,在thiel防腐尸体上进行。结果:在尸体右半骨盆行神经保留术、非神经保留术和超根治性子宫切除术。我们暴露了髂外和髂内血管;闭孔神经、坐骨神经、股神经、腹下神经、盆腔内脏神经和盆腔神经丛;内闭孔肌、梨状肌和尾骨肌;棘韧带;还有坐骨棘。因此,我们证明了各种根治性子宫切除术的解剖线在女性骨盆中的位置。结论:使用thiel防腐尸体,我们证明了各种根治性子宫切除术的解剖线与女性骨盆关键侧壁解剖结构之间的关系。在此过程中拍摄的视频中显示的解剖细节可以帮助外科医生安全地进行各种根治性子宫切除术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between the lateral dissection lines of various radical hysterectomies and anatomical structures in the female pelvis: an educational video from the Sapporo Cadaver Surgical Workshop.

Objective: Radical hysterectomy with pelvic lymph node dissection is the treatment of choice for cervical cancer. All gynecologic oncologists should master this technique. The surgical procedure requires a wide dissection of the female pelvis. Performing radical hysterectomy without a thorough knowledge of the anatomy of the female pelvis can lead to serious complications. For novice surgeons to safely perform radical hysterectomy, mastering the 3-dimensional anatomy of the pelvis and aligning the dissection lines of radical hysterectomy to the female pelvic anatomy is crucial. Educational materials that demonstrate the anatomical relationship between dissection lines in radical hysterectomy and the surrounding pelvic structures are lacking. We aimed to create educational material to overcome these problems.

Methods: Laparoscopic nerve sparing, non-nerve sparing, and super-radical hysterectomies, exposing pivotal pelvic anatomical structures, were performed on a Thiel-embalmed cadaver.

Results: Nerve sparing, non-nerve sparing, and super-radical hysterectomies were laparoscopically performed in the right hemi-pelvis of the cadaver. We exposed the external and internal iliac vessels; obturator, sciatic, femoral, hypogastric, and pelvic splanchnic nerves and the pelvic nerve plexus; internal obturator, piriform, and coccygeal muscles; sacrospinous ligament; and ischial spine. Thus, we demonstrated where the dissection lines of the various radical hysterectomies are in a female pelvis.

Conclusion: Using a Thiel-embalmed cadaver, we demonstrated the relationship between the dissection lines of various radical hysterectomies and pivotal sidewall anatomical structures in a female pelvis. The anatomical detail shown in the video captured during this procedure may assist surgeons to safely perform various radical hysterectomies.

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来源期刊
Journal of Gynecologic Oncology
Journal of Gynecologic Oncology ONCOLOGY-OBSTETRICS & GYNECOLOGY
CiteScore
6.00
自引率
2.60%
发文量
84
审稿时长
>12 weeks
期刊介绍: The Journal of Gynecologic Oncology (JGO) is an official publication of the Asian Society of Gynecologic Oncology. Abbreviated title is ''J Gynecol Oncol''. It was launched in 1990. The JGO''s aim is to publish the highest quality manuscripts dedicated to the advancement of care of the patients with gynecologic cancer. It is an international peer-reviewed periodical journal that is published bimonthly (January, March, May, July, September, and November). Supplement numbers are at times published. The journal publishes editorials, original and review articles, correspondence, book review, etc.
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