biostudies-literatureWen QHealth Science and Technology Plan Project of Ningbo citye9https://www.ebi.ac.uk/biostudies/studies/S-EPMC11791002biostudies-literatureUnknown36(1)<h4>Objective</h4>Para-aortic lymph node dissection (PALND) is a widely used treatment that causes many complications. This study is to evaluate the efficacy and safety of nerve-sparing para-aortic lymph node dissection (NSPALND) by comparing it with conventional PALND in gynecological malignancies and to prove whether locating the superior hypogastric plexus (SHP) can help reveal the para-aortic nerves.<h4>Methods</h4>This is a retrospective study of the patients who underwent para-aortic lymphadenectomy from January 2020 to December 2022 at Zhejiang Cancer Hospital. All of them were divided into NSPALND and PALND groups according to whether or not nerve-sparing was performed. The surgical, functional and oncological outcomes were evaluated.<h4>Results</h4>There were 43 patients enrolled,Journal of gynecologic oncologyPara-aortic lymph node dissection with or without nerve-sparing in gynecological malignancies.PMC117910022022Y46Shao FYang LShao ZZhu YWen QZhou HZhu TfalsePara-aortic lymph node dissection with or without nerve-sparing in gynecological malignancies.<h4>Objective</h4>Para-aortic lymph node dissection (PALND) is a widely used treatment that causes many complications. This study is to evaluate the efficacy and safety of nerve-sparing para-aortic lymph node dissection (NSPALND) by comparing it with conventional PALND in gynecological malignancies and to prove whether locating the superior hypogastric plexus (SHP) can help reveal the para-aortic nerves.<h4>Methods</h4>This is a retrospective study of the patients who underwent para-aortic lymphadenectomy from January 2020 to December 2022 at Zhejiang Cancer Hospital. All of them were divided into NSPALND and PALND groups according to whether or not nerve-sparing was performed. The surgical, functional and oncological outcomes were evaluated.<h4>Results</h4>There were 43 patients enrolled,2025-01-01T00:00:00Z2025 Jan2025-04-04T00:52:27.539Z2025-04-04T00:52:27.539ZS-EPMC117910023899194210.3802/jgo.2025.36.e9