改良腹股沟淋巴结清扫术治疗阴茎癌26例报告

Modified technique of the inguinal lymphadenectomy for penile cancer:Report of 26 cases

目的：探讨改良腹股沟淋巴结清扫术在阴茎癌治疗中的作用，为临床治疗阴茎癌提供新的方法。方法：采用改良腹股沟淋巴结清扫术治疗阴茎癌患者26例，并对患者的治疗结果进行临床观察。结果：每侧平均浅组清扫出淋巴结13．2枚（10～19枚），深组清扫出淋巴结2．1枚（1～4枚）。术后早期主要并发症为皮瓣皮缘坏死，2侧轻度，1侧中度，无一例患者发生淋巴瘘及淋巴囊肿。晚期并发症为轻度双下肢水肿，共4例（15．4%）。26例患者平均随访时间为34．2个月（14～86个月），总体无瘤生存率为80．8％，其中N0为100％（17／17），N1为80％（4／5），N2为0（0／4）。结论：改良腹股沟淋巴结清扫术具有手术效果好、并发症少的特点，有助于提高患者的治疗效果。

Objective：To investigated the data of survival and postoperative complications by presenting a mod- ified technique of the inguinal lymphadenectomy for penile cancer. Methods： 26 patients with penile cancer underwent the modified inguinal lymphadenectomy from 2005 to 2011 were reviewed. Survival and complication data were retrospectively analyzed. Results： The average number of superficial lymph nodes obtained was 13.2 （10-19） per side while an average of 2.1（1-4） deep lymph nodes per side. Complications were included skin necrosis （4. 7%） and lymphedema （0.7%）. Average follow up was 34.2 months （range 14 to 86）. Disease free survival was 80.8%, and for N0, N1 and N2 disease it was 100%, 80%, 0, respectively. Conclusions：The modified radical inguinal lymphadenectomy decreases the complications and relieves the morbidity, while the therapeutic efficacy was elevated.