腹腔镜腹膜后淋巴结清除术9例

Nine cases of laparoscopic retroperitoneal lymph node dissection

目的 探讨采用腹腔镜技术行腹膜后淋巴结清除术治疗I期非精原细胞瘤的方法和效果。 方法 2 0 0 1年 1月～ 2 0 0 2年 5月 ,对 9例临床诊断为I期非精原细胞瘤的患者行腹腔镜腹膜后淋巴结清除术。 结果 手术均成功 ,平均手术时间 2 60min ,无患者需要输血 ,无严重并发症发生 ,术后平均住院时间 5 5d,术后平均随访 9个月无肿瘤复发。 结论 腹腔镜腹膜后淋巴结清除术非常适宜于治疗I期非精原细胞瘤 ,手术安全、创伤小。

Objective To assess the effects of laparoscopic retroperitoneal lymph node dissection in the treatment of stage I nonseminomatous testicular cancer. Methods From January 2001 to May 2002, laparoscopic retroperitoneal lymph node dissection was performed on 9 patients with stage I nonseminomatous testicular cancer. Results The procedure was successful in all patients. The mean operation time was 260 minutes. None of the patients required blood transfusion and had major complications intraoperatively or postoperatively. The average period of hospitalization after the operation was 5 5 days. With a mean following up of 9 months, retroperitoneal recurrence was not seen. Conclusions Laparoscopic retroperitoneal lymph node dissection is feasible for stage I nonseminomatous testicular cancer and its procedure is safe, effective and minimally invasive.