摘要
盆腔淋巴结清扫术(PLND)被公认为是判断盆腔淋巴结有无转移的“金标准”,可对患者预后及选择恰当的辅助治疗方案提供重要信息。对前列腺癌、膀胱癌、尿道癌、阴茎癌等患者实施腹腔镜下PLND已成为临床常规,但PLND在前列腺癌根治术中的作用仍有争议,且不同中心、不同术者的清扫指征、清扫范围、并发症、手术质量均存在显著异质性。本文将结合指南和文献报道,探讨PLND的指征及范围、指南推荐、手术技巧和临床价值,尤其是梳理PLND术中特别值得关注的细节,以帮助基层医院泌尿外科医生提高手术质量,减少并发症,使患者受益最大化。
Pelvic lymph-node dissection(PLND)is the“gold standard”to detect pelvic lymph-node metastasis,and provides important information to predict the patients'prognosis and choose appropriate adjuvant treatment.Laparoscopic PLND has become a routine operation for patients with prostate cancer,bladder cancer,urethral cancer and penile cancer.However,its role in radical prostatectomy is still controversial,and there is a significant heterogeneity among different centers and surgeons in terms of surgical indications,scope,complications and quality.Based on the guidelines and literature,this paper will discuss the indications,scope,recommendations,surgical skills and clinical value of PLND,especially the surgical details,in order to help urologists in primary hospitals to improve the quality of PLND and reduce complications for the maximum benefit of patients.
作者
吴开杰
董小鑫
贺大林
WU Kai-jie;Dong Xiao-xin;HE Da-lin(Department of Urology,First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)
出处
《现代泌尿外科杂志》
CAS
2020年第11期953-957,共5页
Journal of Modern Urology
关键词
前列腺癌
腹腔镜
盆腔淋巴结清扫
prostate cancer
laparoscopy
pelvic lymph-node dissection
