阴茎鳞状细胞癌区域淋巴结清扫术的争议及进展  

The Controversy and Progress of Regional Lymphadenectomy in Squamous Cell Carcinoma of the Penis

作　　者：唐勇[1] 陆浩源[1] 易贤林[1] 李秀宁[1] 高超[1] 刘翰楠 白先忠[1] 

机构地区：[1]广西医科大学附属肿瘤医院泌尿外科,南宁530021

出　　处：《循证医学》2015年第3期184-188,共5页The Journal of Evidence-Based Medicine

基　　金：广西医疗卫生重点科研课题资助项目(重2012093);广西科学研究与技术开发计划资助项目(桂科攻1355005-3-11)

摘　　要：区域淋巴结清扫术(腹股沟淋巴结清扫术及髂血管旁淋巴结清扫术)在阴茎鳞状细胞癌的治疗中扮演着重要的角色,但阴茎鳞状细胞癌开放腹股沟淋巴结清扫术存在着高并发症的缺点。阴茎鳞状细胞癌患者何时进行区域淋巴结清扫,如何进行区域淋巴结清扫,腔镜能否代替开放的区域淋巴结清扫术等问题存在诸多争议。复习相关文献,对阴茎鳞状细胞癌区域淋巴结清扫术存在的困惑及问题,开放腹股沟淋巴结清扫术的改良及缺点,内窥镜手术在阴茎癌区域淋巴结清扫中的应用、存在问题及进展进行阐述。Regional lymphadenectomy（including inguinal lymphadenectomy and iliac lymphadenectomy） plays an important role in squamous cell carcinoma of the penis. But open inguinal lymphadenectomy carries a significant morbidity.It still remains controversial in the regional lymphadenectomy of penile cancer as follows： When is the appropriate time to perform regional lymphadenectomy？ How to perform regional lymphadenectomy？ Could the video endoscopic technology take the place of the traditional lymphadenectomy？ After reviewing the recent manuscripts, the confusion of the regional lymphadenectomy of penile cancer, the improvement / limitation of the open inguinal lymphadenectomy and the latest progression of video endoscopic lymphadenectomy in the penile cancer were described in this review.

关 键 词：阴茎鳞状细胞癌 区域淋巴结清扫术 

分 类 号：R737.27[医药卫生—肿瘤]