摘要
目的探讨腹腔镜腹膜后淋巴结清除术在睾丸肿瘤治疗中的技术可行性。方法 8例原发性睾丸非精原细胞性生殖细胞肿瘤,胚胎癌6例,未成熟畸胎瘤1例,混合癌1例,术前临床分期:Ⅰ期1例,Ⅱ期7例,采用经腹入路腹腔镜腹膜后淋巴结清除术。结果 8例手术均获成功。手术时间平均240 min,术中出血量平均280 ml,无肠管或大血管损伤,无中转开放手术者。术后出现肠麻痹1例,早期1例术后出现淋巴漏。术后住院时间平均7 d。清除的淋巴结病理检查结果5例阴性,3例阳性。术后随访9～36个月,无一例肿瘤复发,6例患者有正常射精功能。结论腹腔镜腹膜后淋巴结清除手术难度较大,技术要求高,对于有丰富腹腔镜经验的术者可替代开放手术。
Objective To investigate surgical technique feasibility of laparoscopic retropenitoneal lymph node dissection （L-RPLND） in the treatment of testicular tumor. Methods Eight patients with primary test icular nonseminomatous germ cell tumors （NSGCT） were underwent by L-RPLND after orchiectomy. Results All the operations were successfully performed. The mean operating time was 240 rain and the mean intraoperative blood loss was 280 ml. No intestinal canal and vessels venacava were injuried during operation. Mild chylous retroperitoneal drainage was seen in 1 patient. The mean hospital stay was 7 days. There were no evidenee of recurrence or distant metastasis in the operatins during 9-36 months follow-up after the operation. Conclusions L-RPLND is a diffieult and complicated operation with high skilled laparoscopic technique and could replaee open retropenitoneal lymph node dissection for those operators with rich laparoseopic experiences.
出处
《中华腔镜泌尿外科杂志（电子版）》
2007年第1期36-39,共4页
Chinese Journal of Endourology(Electronic Edition)
关键词
睾丸肿瘤
腹膜后淋巴结切除术
腹腔镜
Testicular tumor
Retroperitoneal lymph node dissection
Laparoscopy
