内镜下腹股沟淋巴结清扫术在外阴癌治疗中的应用

发布时间：2018-04-26 18:57

本文选题：内镜 + 腹股沟淋巴结　；参考：《中国妇产科临床杂志》2017年05期

【摘要】：目的探讨内镜下腹股沟淋巴结清扫术治疗外阴癌的可行性及安全性。方法回顾性分析2013年1月至2016年4月在徐州市中心医院妇科行内镜下淋巴结切除的10例外阴癌患者的临床资料,手术方法采用三切口侧入法腔镜下淋巴结清扫术,观察其切除淋巴结数目、术中及术后并发症及愈合时间。结果 10例患者均顺利完成内镜下双侧腹股沟淋巴结清扫术,没有改为开放手术病例,手术时间80~130 min,平均115 min。清扫淋巴结数量每侧5~10个,平均(7.0±3.1)个。术中出血20~100 ml,平均75 ml。9例均无术中及术后并发症,平均住院天数10.6 d,1例出现皮肤小面积坏死,住院天数15 d。结论内镜下腹股沟淋巴结清扫术安全可行,并发症少,值得推广。
[Abstract]:Objective to investigate the feasibility and safety of endoscopic inguinal lymph node dissection for vulvar carcinoma. Methods the clinical data of 10 patients with vulvar carcinoma who underwent endoscopic lymphadenectomy from January 2013 to April 2016 in Xuzhou Central Hospital were retrospectively analyzed. The number of dissected lymph nodes, intraoperative and postoperative complications and healing time were observed. Results the endoscopic bilateral inguinal lymph node dissection was performed successfully in all the 10 patients. The operation time was 80 ~ 130 min with an average of 115 mins. The number of dissected lymph nodes ranged from 5 to 10 (mean 7.0 卤3.1). There were no intraoperative or postoperative complications in the patients with intraoperative hemorrhage (20 ~ 100ml), and the average hospitalization time was 10.6 days (1 case) with small area necrosis of skin, and the average hospitalization time was 15 days. Conclusion Endoscopic inguinal lymph node dissection is safe and feasible, and has few complications.
【作者单位】：东南大学医学院附属徐州医院、徐州市中心医院妇产科;
【分类号】：R737.35

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