腹腔镜外科杂志2013，Vol.18Issue(5)：350-353,4.
腹腔镜腹股沟淋巴结清扫术治疗阴茎癌及生殖肿瘤的初步临床体会
Laparoscopic radical inguinal lymphadenectomy in the treatment of penile cancer and genital tumor
莫琰 1周学鲁 1张继峰 1张剑锋 1胡灏 1周上军1
作者信息
- 1. 广州中医药大学附属东莞市中医院,广东东莞,523127
- 折叠
摘要
Abstract
Objective:To explore the postoperative complications and results of tumor control of laparoscopic inguinal lymphadenectomy.Methods:Fourteen inguinal lymph nodes resection were performed in ten patients (14 sides) via laparoscopy.Three Trocars were used during the procedure.The first of 10 mm was placed 3 mm distal to the apex of the femoral triangle as observation port,and two others of 10 mm and 5 mm were positioned 6 cm medially and laterally to the femoral triangle respectively.After separation of flap,great saphenous vein was used as anatomic landmark,the superficial and deep lymph nodes were dissected step by step.The boundaries of dissection were the same as those of open radical inguinal lymphadenectomy.The numbers of harvested lymph nodes were recorded,and the reasons of complications were retrospectively analyzed.Results:The average operation time was (130 ± 24.9) min for each side.The mean number of unilateral lymph nodes was (12.1 ± 1.2).The average output of drainage per leg was (60.3 ± 37.3) ml/d.3 patients got minor complications.One had hypercarbia and subcutaneous emphysema,and another had 50 ml of seroma,the third,180 ml of lymphocele.Follow-up time was (24 ± 11.7) months,there was no case of recurrence or other complications.Conclusions:Laparoscopic inguinal lymphadenectomy is feasible in the treatment of metastatic penile cancer and genital malignant tumor.This procedure can not only reduce postoperative complications,but also get satisfying results of tumor control.Study with large amount of cases and long-term follow-up should be performed in order to evaluate its results of tumor control and potential complications.关键词
阴茎肿瘤/泌尿生殖系统肿瘤/腹股沟/淋巴结切除术/腹腔镜检查Key words
Penile neoplasms/Urogenital neoplasms/Groin/Lymph node excision/Laparoscopy分类
医药卫生引用本文复制引用
莫琰,周学鲁,张继峰,张剑锋,胡灏,周上军..腹腔镜腹股沟淋巴结清扫术治疗阴茎癌及生殖肿瘤的初步临床体会[J].腹腔镜外科杂志,2013,18(5):350-353,4.
