阴茎癌切除同期行改良根治性腹股沟淋巴结清扫术的可行性研究  

Penectomy and simultaneously modified radical inguinal iymphadenectomy for penile carcinoma： a retrospective study

作　　者：邹子君[1] 尧凯[1] 周芳坚[1] 李永红[1] 秦自科[1] 刘卓炜[1] 韩辉[1] 

机构地区：[1]中山大学肿瘤防治中心泌尿外科华南肿瘤学国家重点实验室,广州510060

出　　处：《中华泌尿外科杂志》2011年第12期803-806,共4页Chinese Journal of Urology

摘　　要：目的探讨同期行阴茎癌原发病灶切除和改良根治性腹股沟淋巴结清扫术的可行性。方法回顾性分析2002年6月至2010年6月55例同期行阴茎癌切除和改良根治性腹股沟淋巴结清扫术的患者资料。患者年龄27～73岁，平均49岁。行同期改良根治性腹股沟淋巴结清扫术107侧，1侧行腹股沟淋巴结清扫术之前曾行大隐静脉抽出术，2侧行同期经典根治性腹股沟淋巴结清扫术。结果107侧改良根治性腹股沟淋巴结清扫术后发生切口感染1侧次（0．9％），下肢淋巴水肿18侧次（16．8％），皮瓣坏死6侧次（5．6％）。每侧切除淋巴结3～23枚，平均11枚。3年总生存率为84％。结论阴茎癌切除同期行改良根治性腹股沟淋巴结清扫术可保证控瘤效果，不增加手术后并发症，是适合阴茎癌患者的治疗策略。Objective To verify whether the concomitant performance of modified radical inguinal lymphadenectomy and peneetomy may increase complications and compromise oncological effectiveness. Methods From June 2002 to June 2010, a total of 110 simultaneous inguinal lymphadenectomies were performed on 55 patients （mean age 49 years）, including 107 modified radical lymphadenectomies, 2 radical lymphadenectomies and 1 lymphadenectomy before which the sapheous vein was resected. The records of all patients were reviewed. Results Of 107 simultaneously modified radical inguinal lymphadenectomy, only 1 （0.9%） had wound infection. There were 18 （16.8%） leg lymphedema and 6 （5.6%） skin flap necrosis, postoperatively. The average number of inguinal lymph nodes dissected was 11 （3 - 23）. Overall 3-year survival was 84%. Conclusions Penile surgery combined with simultaneously modified radical inguinal lymphadenectomy could be feasible, which may have oncologieal control without increasing the risk of surgical complications.

关 键 词：阴茎肿瘤 癌 淋巴结切除术 腹股沟 预后 

分 类 号：R737.27[医药卫生—肿瘤]