重新解释根治性子宫切除术中阴道旁的手术解剖结构，并探讨其对手术的影响。术语“阴道旁”由 Fothergill 于 1907 年首次定义，在根治性子宫切除术中至关重要。然而，仍有一些挑战尚未解决。其中包括： (1) 与其定义属性相关的术语不一致； （2）解剖标志缺乏共识； (3) 与主韧带和骶韧带的关系不明确； (4) 阴道旁切除术在根治性子宫切除术中的重要意义和要求。 一名 60 多岁的 IB2 期宫颈癌患者被纳入一项临床试验，并被分配到腹腔镜手术组。分步解说视频演示。在子宫骶韧带、主韧带和膀胱阴道韧带切除后的手术过程中，我们发现了位于阴道中三分之一和骨盆壁之间的韧带样结构。我们将这种结构称为“阴道旁韧带”。进行了详细的解剖描述，概述了其关键附件。版权所有 © 2024。由 Elsevier Inc. 出版。

To reinterpret the surgical anatomy of paracolpium in radical hysterectomy and to explore its implications for the surgery.The term "paracolpium," first defined by Fothergill in 1907, is essential in radical hysterectomy. However, several challenges remain unresolved. These include: (1) inconsistent terminology in relation to its defined attributes; (2) the lack of consensus on anatomical landmarks; (3) unclear associations with the cardinal and sacral ligaments; and (4) the critical implications and requirements of paracolpium resection in radical hysterectomy practices.A patient in her 60s diagnosed with stage IB2 cervical cancer was enrolled in a clinical trial and assigned to the laparoscopic surgery group. A step-by-step, narrated video demonstration.During the procedure, post-excision of the uterosacral, cardinal, and vesicovaginal ligaments, we identified a ligament-like structure situated between the middle third of the vagina and the pelvic wall. We have termed this structure the "paracolpium ligament." A detailed anatomical description was performed, outlining its crucial attachments.Copyright © 2024. Published by Elsevier Inc.