[Para-aortic lymphadenectomy in gynecology. Theoretical principles, basic approach and practical suggestions].
OBJECTIVE
To present a review of para-aortic lymphadenectomy in gynecology.


METHODS
Review.


METHODS
Department of Obstetrics and Gynecology, Department of Urology, Medical Faculty Hradec Králové, Charles University, Prague; Bristol-Myers Squibb, Department of Oncology, Prague.


METHODS
Discussion about current evidence from literature and our own experience.


CONCLUSIONS
In the past 20 years, pelvic and paraaortic lymphadenectomy has become part of the standard surgical treatment of ovarian cancer. Overall, about 40% of patients with ovarian cancer will have nodal involvement. Regarding to this real probability is para-aortic lymphadenectomy very important part of surgical treatment in this disease.
Porodnická a gynekologická klinika, FN v Hradci Králové.
J
J
Spacek
Z
Z
Veselský
J
J
Tosner
Z
Z
Tesarík
D001012:Aorta, Abdominal; D002277:Carcinoma / Q000556:secondary* / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D010051:Ovarian Neoplasms / Q000473:pathology* / Q000601:surgery