[1]朱国栋,杨龙,李黎明.腔镜下保留大隐静脉及其属支腹股沟淋巴结清扫术[J].中华腔镜泌尿外科杂志(电子版),2017,11(04):233-236.[doi:10.3877/cma.j.issn.1674-3253.2017.04.005 ]
 Zhu Guodong,Yang Long,Li Liming..Endoscopic inguinal lymphadenectomy with preservation of the great saphenous vein and its tributaries[J].,2017,11(04):233-236.[doi:10.3877/cma.j.issn.1674-3253.2017.04.005 ]
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腔镜下保留大隐静脉及其属支腹股沟淋巴结清扫术()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年04期
页码:
233-236
栏目:
临床研究
出版日期:
2017-08-31

文章信息/Info

Title:
Endoscopic inguinal lymphadenectomy with preservation of the great saphenous vein and its tributaries
作者:
朱国栋杨龙李黎明
300052 天津医科大学总医院泌尿外科
Author(s):
Zhu Guodong Yang Long Li Liming.
Department of Urology, General Hospital of Tianjin Medical University, Tianjin 300052, China
关键词:
大隐静脉 腹股沟 淋巴结清扫术
DOI:
10.3877/cma.j.issn.1674-3253.2017.04.005
摘要:
目的 探讨腔镜下保留大隐静脉及其属支腹股沟淋巴结清扫术的可行性及其临床效果。方法 回顾分析我科于2015 年11 月至2016 年7 月完成的8 例腔镜下保留大隐静脉及其属支腹股沟淋巴结清扫术患者临床资料,年龄44~64 岁,平均(53±7)岁。术前临床分期:T1 分期4 例;T2 分期2 例;T3 分期2 例。结果 8 例腔镜下保留大隐静脉及其属支腹股沟淋巴结清扫术顺利完成,无中转开放,平均手术时间(128±18)min, 平均出血量20 ml,留置引流管时间(4.0±1.0) d,平均每侧深组淋巴结检出个数3.5 个,平均每侧浅组淋巴结检出个数7.7 个,2 例3 侧共5 个浅组淋巴结转移。结论 腔镜下保留大隐静脉及其属支腹股沟淋巴结清扫术是可行的。

参考文献/References:

[1] Horenblas S Lymphadenectomy for squamous cell carcinoma of the penis. Part 2: The role and technique of lymph node dissection[J].BJU Int, (2001), 88, 473-483.
[2] Leijte JA, Valdés Olmos RA, Nieweg OE, et al. Anatomical mapping of lymphatic drainage in penile carcinoma with SPECT-CT:implications for the extent of inguinal lymph node dissection[]J. Eur Urol, 2008, 54(4):885-890.
[3] Delman KA, Kooby DA, Rizzo M, et al. Initial experience with videoscopic inguinal lymphadenectomy[J]. Ann Surg Oncol, 2011,18(4):977-982.
[4] Tobias-Machado M, Tavares A, Silva MN, et al. Can video endoscopic inguinal lymphadenectomy achieve a lower morbidity than open lymph node dissection in penile cancer patients?[J]. J Endourol, 2008, 22(8):1687-1691.
[5] 尧凯, 邹子君, 李再尚, 等. 阴茎癌腹股沟淋巴结清扫术保留阔筋膜技术的控瘤效果[J]. 现代泌尿外科杂志, 2014, 19(1):19-21.
[6] Malhotra SM, RouseRV, AzziR, et al. Is lymphadenectomy indicated in patients with T1 moderately differentiated penile cancer?[J]. Can J Urol, 2009, 16(6):4895-4899.
[7] Catalona WJ. Modified inguinal lymphadenectomy for carcinoma of the penis with preservation of saphenous veins: technique and preliminary results[J]. J Urol, 1988, 140(2):306-310.
[8] Zhang SH, Sood AK, Sorosky JI, et al. Preservation of the saphenous vein during inguinal lymphadenectomy decreases morbidity in patients with carcinoma of the vulva[J]. Cancer, 2000, 89(7):1520-1525.
[9] 于浩, 黄健, 林天歆等. 改良内镜下腹股沟淋巴结清扫术: 附6 例报告[J/CD]. 中华腔镜泌尿外科杂志: 电子版, 2012, 6(6):453-457.
[10] Zhu Y, Zhang SL, Ye DW, et al. Prospectively packaged ilioingunial lymphadenectomy for penile cancer:the disseminative pattern of lymph node metastasis[J]. J Urol, 2009, 181(5):2103-2108.
[11] Zhou XL, Zhang JF, Zhang JF, et al. Endoscopic inguinal lymphadenectomy for penile carcinoma and genital malignancy:a preliminary report[J]. J Endourol, 2013, 27(5):657-661.
[12] Gonzalez Bosquet J, Magrina JF, Magtibay PM, et al. Patterns of inguinal groin metastases in squamous cell carcinoma of the vvual[J].Gynecol Oncol, 2007, 105(3):742-746.
[13] Tobias-Machado M, TavaresA, Molina WR Jr, et al. Video endoscopic inguinal lymphadenectomy(VEIL): Minimally invasive resection of inguinal lymph nodes[J]. IntBraz J Urol, 2006, 32(3):316-321.
[14] Kroon BK, Horenblas S, Lont AP, et al. Patients with penile carcinoma benefit from immediate resection of clinically occult lymph node metastases[J]. J Urol, 2005, 173(3):816-819.

备注/Memo

备注/Memo:
通讯作者:杨龙,yanglong7996@163.com
更新日期/Last Update: 2017-08-25