阴茎癌腹腔镜和腹股沟皮桥行腹股沟淋巴结清扫手术效果比较

发布时间：2018-05-20 10:25

本文选题：阴茎癌 + 腹股沟淋巴结　；参考：《四川大学学报(医学版)》2017年04期

【摘要】：目的比较阴茎癌腹腔镜下与腹股沟皮桥手术在腹股沟淋巴结清扫中的临床效果及并发症。方法回顾性分析2009年1月至2015年5月75例阴茎癌患者行双侧腹股沟淋巴结清扫的临床资料。所有患者均行阴茎原发灶部分切除或全部切除。其中22例患者行腹腔镜双侧腹股沟淋巴结清扫术(腹腔镜组),53例患者使用腹股沟皮桥行双侧腹股沟淋巴结清扫术(腹股沟皮桥组)。对两组患者的术中出血量、手术时间、术后引流管拔除时间、平均住院时间、切除淋巴结数量及并发症等进行比较。结果腹腔镜组与腹股沟皮桥组相比,手术时间分别为(100.73±7.97)min、(119.85±7.37)min;术中出血量分别为(29.09±4.94)mL、(51.32±5.83)mL;平均住院时间分别为(9.27±3.72)d、(11.53±4.29)d;术后拔除引流管时间分别为(8.00±2.81)d、(9.53±2.23)d,差异均有统计学意义(P0.05)。术中淋巴结清扫数量分别为(12.95±9.53)枚、(13.98±8.99)枚,差异无统计学意义(P0.05)。腹腔镜组并发症发生率为22.73%,腹股沟皮桥组并发症发生率为47.17%,差异有统计学意义(P0.05)。结论与腹股沟皮桥手术相比,腹腔镜下进行腹股沟淋巴结清扫有减少术中出血量、缩短手术时间、缩短住院时间、降低手术并发症等优点。
[Abstract]:Objective to compare the clinical effects and complications of laparoscopic and inguinal skin bridge surgery for penile carcinoma in inguinal lymph node dissection. Methods from January 2009 to May 2015, 75 patients with penile carcinoma underwent bilateral inguinal lymph node dissection. All patients underwent partial or total excision of the primary lesions of the penis. Among them, 22 cases were treated with laparoscopic bilateral inguinal lymph node dissection (Laparoscopic group, 53 cases underwent bilateral inguinal lymph node dissection with inguinal skin bridge). The amount of intraoperative bleeding, the time of operation, the time of extubation, the average hospitalization time, the number of lymph nodes removed and the complications were compared between the two groups. Results the operative time of laparoscopic group was 100.73 卤7.97 min (119.85 卤7.37 min), the amount of intraoperative bleeding was 29.09 卤4.94 mL (51.32 卤5.83 mL), the average hospitalization time was 9.27 卤3.72 d (11.53 卤4.29 d), and the time of extubation was 8.00 卤2.81 d (9.53 卤2.23) d, respectively. The number of lymph nodes dissected during operation was 12.95 卤9.53 and 13.98 卤8.99, respectively, with no significant difference (P 0.05). The incidence of complications in laparoscopy group was 22.73 and that in groin skin bridge group was 47.17. The difference was statistically significant (P 0.05). Conclusion compared with inguinal skin bridge operation, laparoscopic inguinal lymph node dissection has the advantages of reducing intraoperative bleeding, shortening operation time, shortening hospital stay and reducing complications.
【作者单位】：四川大学华西医院泌尿外科;
【分类号】：R737.27

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