摘要
目的:探讨阴茎癌原发病灶切除术后采取经下腹皮下通路内镜下腹股沟淋巴结整块清扫术(HS-VEIL)联合持续闭合负压引流技术(VSD)的有效性和安全性。方法:回顾性分析2013年3月-2019年6月采取HS-VEIL和开放腹股沟淋巴结清扫术(OIL)治疗24例阴茎癌患者的临床资料,其中接受HS-VEIL和OIL各12例,所有患者均在切除原发病灶后行双侧腹股沟淋巴结清扫术,HS-VEIL术后采取VSD引流技术。观察两组患者相关技术指标、阳性淋巴结检出率、并发症发生率以及随访情况,评价其手术效果。结果:HS-VEIL组在术中出血量、术后引流时间、术后住院时间、切口感染等技术指标上明显低于OIL组,差异有统计学意义(P<0.05)。结论:HS-VEIL联合VSD技术在阴茎癌中的疗效肯定,不仅可以达到与开放手术一致的控瘤效果,同时具有创伤小、恢复快、并发症发生率低等明显优势,值得临床推广应用。
Objective:To explore the effectiveness and safety of hypogastric subcutaneous pathway video en⁃doscopic inguinal lymphadenectomy(HS-VEIL)combined with vacuum sealing drainage(VSD)in the treatment of penile cancer.Method:A retrospective analysis was conducted on 24 patients with penile cancer treated with HSVEIL or open inguinal lymphadenectomy(OIL)between March 2013 and June 2019,and bilateral inguinal lymphad⁃enectomy was performed on all patients after resection of the primary lesion.Among them,there were 12 cases of HS-VEIL and 12 cases of OIL.VSD technique after HS-VEIL,relevant technical indices,detection rate of positive lymph nodes,incidence of complications as well as follow-up conditions of 24 patients were observed for the assess⁃ment of operative effectiveness.Results:As compared with OIL group,the post-operative blood loss,the post-oper⁃ative drainage time,the post-operative hospital stay,and the incidence of the incision infection were significantly re⁃duced in HS-VEIL group(all P<0.05).Conclusion:The curative effectiveness of the combination of HS-VEIL and VSD in the treatment of penile cancer is unequivocally confirmed,which can not only achieve the same tumor control effects as open surgery,but also has obvious advantages of small trauma,rapid recovery and low complica⁃tions,which is worthy of clinical promotion and application.
作者
陈冰
虞河江
胡振兴
胡庆新
王晓锋
CHEN Bing;YU Hejiang;HU Zhenxing;HU Qingxin;WANG Xiaofeng(Department of Urology,the People's Hospital of Sichuan Leshan Central Distrct,Leshan 614000,China)
出处
《微创泌尿外科杂志》
2020年第2期139-144,共6页
Journal of Minimally Invasive Urology
作者简介
通信作者:王晓锋,1908059013@qq.com
