单孔腔镜下行腹股沟淋巴结清扫术:附6例报告  

Single-site endoscopic inguinal lymphadenectomy: Initial report of 6 cases

作　　者：胡成[1] 吴杰英[1] 黄文涛[1] 肖恒军[1] 王德娟[1] 邱剑光[1] 

机构地区：[1]中山大学附属第三医院泌尿外科,广州510630

出　　处：《中华腔镜泌尿外科杂志（电子版）》2013年第1期17-19,共3页Chinese Journal of Endourology(Electronic Edition)

基　　金：广东省科技计划社会发展项目(2010B031600083)

摘　　要：目的探讨单孔腔镜下行腹股沟淋巴结清扫术的有效性和可行性。方法回顾性分析我科自2012年5月以来开展单孔腔镜腹股沟淋巴结清扫术的临床资料。6例确诊为下肢恶性黑色素瘤患者，年龄54。65岁，平均60．3岁。体查和彩超提示同侧腹股沟淋巴结肿大，CT或MRI检查排除腹股沟深组及盆腔淋巴结转移。采用自制单孔多通道腹腔镜行腹股沟淋巴结清扫术。结果6例手术均成功，无中转开放手术。手术时间105～180min，平均142．5min；术中出血量20～50ml，平均31．6ml；清扫淋巴结数量5-8个，平均6．5个。术中无大出血或血管损伤等并发症。早期1例术后出现淋巴漏，切口延期愈合。其后5例采用负压持续引流，切口均一期愈合。6例患者随访1-6个月，未见复发和下肢淋巴水肿。结论单孔腔镜下行腹股沟淋巴结清扫术治疗下肢恶性黑色素瘤并腹股沟淋巴结转移技术可行，切口并发症发生率明显降低，术后恢复快。Objective To investigate the efficacy and feasibility of single-site endoscopic inguinal lymphadenectomy （SSEIL） in the treatment of local lymphadenopathy. Methods Since May 2012, six consecutive cases of malignant melanoma received SSEIL. Whose mean age was 60.3 years （54-65 years）. Physical and ultrasonic examination indicated ipsilateral inguinal lymphadenopathy, with deep inguinal lymph node metastasis excluded by CT or MRI. All patients underwent SSEIL. Results All six cases were treater successfully. The mean operation time and blood loss were 142.5 minutes （105-180） and 31.67 ml （20-50）, respectively. No conversion to open surgery was necessary. No postoperative complication occurred except one case of seroma, which was treated by sufficient drainage. During follow-up, no tumor recurrence and lymphedema was observed. Conclusions Initial study of SSEIL shows its clinical safety in the treatment of inguinal lymphadenopathy. It has significanly lower incisional complication and it＇s worth a wide application.

关 键 词：单孔腔镜 腹股沟 淋巴结清扫术 治疗 

分 类 号：R730.5[医药卫生—肿瘤]