Abstract：
OBJECTIVE: The purpose of this study is to show the feasibility and surgical outcome of vNOTES retroperitoneal dissection and isolation of sentinel lymph nodes in overweight and obese patients with endometrial cancer.
METHODS: Four patients had undergone pelvic lymphadenectomy with a sentinel lymph node. Three patients were overweight, and one was obese with a BMI of 34.6 kg/m2. By using NMR mode sentinel lymph node was visualized, excised and marked separately for pathohistological analysis from the rest of the visualized lymph nodes that were then consecutively excised.
RESULTS: The mean number of overall excised lymph nodes was 12.5, and the mean number on the right side was 5.75 and 6.25 on the left side. There were no metastases verified in the pathohistological evaluation.
CONCLUSIONS: vNOTES retroperitoneal isolation of sentinel lymph nodes is good alternative and has its benefits, especially in overweight and obese patients with satisfying low intra- and postoperative complications.
METHODS: Four patients had undergone pelvic lymphadenectomy with a sentinel lymph node. Three patients were overweight, and one was obese with a BMI of 34.6 kg/m2. By using NMR mode sentinel lymph node was visualized, excised and marked separately for pathohistological analysis from the rest of the visualized lymph nodes that were then consecutively excised.
RESULTS: The mean number of overall excised lymph nodes was 12.5, and the mean number on the right side was 5.75 and 6.25 on the left side. There were no metastases verified in the pathohistological evaluation.
CONCLUSIONS: vNOTES retroperitoneal isolation of sentinel lymph nodes is good alternative and has its benefits, especially in overweight and obese patients with satisfying low intra- and postoperative complications.
摘要：
目的：本研究的目的是显示vNOTES腹膜后清扫术和前哨淋巴结隔离术在超重和肥胖子宫内膜癌患者中的可行性和手术效果。
方法：4例患者接受了带有前哨淋巴结的盆腔淋巴结清扫术。三名患者超重，其中一人肥胖，BMI为34.6kg/m2。通过使用NMR模式对前哨淋巴结进行可视化，从随后连续切除的其余可视化淋巴结中分别切除并标记以进行病理组织学分析。
结果：总切除淋巴结的平均数为12.5，右侧的平均数为5.75，左侧的平均数为6.25。在病理组织学评估中没有证实转移。
结论：vNOTES腹膜后分离前哨淋巴结是很好的选择，并有其好处，尤其是超重和肥胖患者，术后并发症较低。
方法：4例患者接受了带有前哨淋巴结的盆腔淋巴结清扫术。三名患者超重，其中一人肥胖，BMI为34.6kg/m2。通过使用NMR模式对前哨淋巴结进行可视化，从随后连续切除的其余可视化淋巴结中分别切除并标记以进行病理组织学分析。
结果：总切除淋巴结的平均数为12.5，右侧的平均数为5.75，左侧的平均数为6.25。在病理组织学评估中没有证实转移。
结论：vNOTES腹膜后分离前哨淋巴结是很好的选择，并有其好处，尤其是超重和肥胖患者，术后并发症较低。
