腹腔镜腹膜后淋巴结清扫术治疗临床Ⅰ-Ⅱ期睾丸非精原细胞瘤的疗效观察  

Laparoscopic retroperitoneal lymph node dissection for non-seminomatous germ cell tumor

作　　者：李兵兵[1] 顾朝辉[1] 贾占奎[1] 李文波[1] 丁映辉 黄珍林 马中立[1] 王展[1] 杨锦建[1] 

机构地区：[1]郑州大学第一附属医院泌尿外科,河南省泌尿外科研究所,郑州市泌尿外科肿瘤分子生物学重点实验室,郑州450052

出　　处：《临床泌尿外科杂志》2015年第9期801-803,共3页Journal of Clinical Urology

摘　　要：目的：探讨腹腔镜腹膜后淋巴结清扫术治疗临床Ⅰ-Ⅱ（a/b）期睾丸非精原细胞瘤的疗效。方法：2012年8月2014年6月采用腹腔镜腹膜后淋巴结清扫术治疗睾丸非精原细胞瘤患者7例,观察并统计手术时间、术中出血量、淋巴结清扫个数、术后胃肠功能恢复时间、术后住院时间及并发症发生情况。结果：所有患者手术顺利,均未改行开放手术。手术时间（189±35）min,术中出血量（71±12）ml,淋巴结清扫（16±5）个,术后胃肠功能恢复时间（2.5±0.5）d,术后住院（8±2）d。术后所有患者恢复良好,性功能正常,肿瘤未现局部复发及远处转移。结论：腹腔镜腹膜后淋巴结清扫术具有安全、高效、创伤小、恢复快等特点,对临床Ⅰ-Ⅱ（a/b）期睾丸非精原细胞瘤有较好疗效。Objective：To explore the clinical effects of laparoscopic retroperitoneal lymph node dissection for clinical stage Ⅰ-Ⅱ non-seminomatous germ cell tumor （NSGCT）. Method： From August 2012 to June 2014, the clinical data of seven cases of NSGCT were analyzed, including operative time, intraoperative blood loss, mean dissected lymph node number, gastrointestinal function recovery time, postoperative hospital stay and postopera- tive complication. Result： All cases were operated successfully without conversion to open surgery. The clinical re- suits were as follows： mean operation time was （189±35） min mean blood loss was （71±12） ml; mean dissec- ted lymph node number was （16 ± 5）; mean postoperative gastrointestinal function recovery time was （2.5± 0.5） days; mean postoperative hospital stay was （8i2） days. All patients recovered well, and no local tumor recur- rence or distant metastasis was found during the follow-up period. Conclusion： Laparoscopic retroperitoneal lymph node dissection is safe and effective with little trauma and fast recovery, and it can be used as a first-line choice for diagnosis and treatment of clinical stage Ⅰ-Ⅱ NSGCT.

关 键 词：睾丸肿瘤 非精原细胞瘤 腹腔镜术 腹膜后淋巴结清扫术 

分 类 号：R737.31[医药卫生—肿瘤]