顺行性腹腔镜下腹股沟淋巴结清扫术14例经验总结

Experiences of anterograde laparoscopic inguinal lymph node dissection of 14 penile cancer patients

目的 探讨顺行性腹腔镜下腹股沟区淋巴结清扫术对阴茎癌患者的安全性和疗效。方法 回顾性分析我院从2014年1月至2019年12月收治的14例阴茎癌患者的相关临床资料,行顺行性腹腔镜下腹股沟淋巴结清扫术。分析了术前相关准备情况,手术时间,术中术后并发症,术后切口恢复情况及术后淋巴结病理情况,随访生存期等。结果 14例手术均成功。手术平均时间(163±47)min,术中平均出血量为(28±13)ml。随访6~48个月,复查全腹CT及肺部CT等,14例患者术后未出现复发及转移的迹象。结论 顺行性腹腔镜下腹股沟淋巴结清扫术具有安全,手术时间少,术后并发症少,恢复快等优点,但对术者有一定的技术要求。

Objective To explore the safty and effect of laparoscopic inguinal lymph node dissection for patients with penile cancer.Methods Clinical data of 14 penile cancer patients who received laparoscopic inguinal lymph node dissections from January 2014 to December 2019 in our hospital were analyzed retrospectively.Operation preparations,operation durations,complications during and post operations,recovery and follow up visits were all taken into considerations.Results 14 patients had successfully underwent inguinal lymph node dissection.The mean operation time was(163±47)min and the mean volume of bleeding during operation was(28±13)ml.The duration for follow-up visit was from 6 to 48 months.Follow-up visits included abdominal and lung CT,and no signs of metastasis and recurrence were indicated.Conclusion Laparoscopic inguinal lymph node dissection is a safe and efficient surgical procedure that got many therapeutical advantages.This procedure requires advanced technical kills from surgeons.