平卧位腹腔镜下经腹途径双侧腹膜后及盆腔淋巴结清扫术：3例报告并文献复习  

Laparoscopic bilateral retroperitoneal and pelvic lymph node dissection via abdominal approach in supine position: 3 cases report and literature review

作　　者：钟煜韡 李科[2] 邱剑光 王德娟 郑建坤 ZHONG Yuwei;LI Ke;QIU Jianguang;WANG Dejuan;ZHENG Jiankun(Department of Urology,The Sixth People′s Hospital of Huizhou,Huizhou 516211,China;Department of Urology,The Third Affiliated Hospital,Sun Yat-sen University,Guangzhou 510630,China;Department of Urology,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,China)

机构地区：[1]广东省惠州市第六人民医院泌尿外科,广东惠州516211 [2]中山大学附属第三医院泌尿外科,广东广州510630 [3]中山大学附属第六医院泌尿外科,广东广州510655

出　　处：《分子影像学杂志》2019年第4期476-479,共4页Journal of Molecular Imaging

摘　　要：目的探讨睾丸癌平卧位腹腔镜下经腹途径双侧腹膜后及盆腔淋巴结清扫术的方法。方法采用经腹途径性腹腔镜下双侧腹膜后及盆腔淋巴结清扫术3例,复习总结国内外相关文献。结果3例手术均顺利,术中分别清扫双侧腹膜后淋巴结22个,及盆腔淋巴10个,术中出血少,术后安返病房。结论腹腔镜下经腹途径双侧腹膜后及盆腔淋巴结清扫范围广,上至肾动脉水平,下至髂总下约2 cm,解剖标志清晰,可达到与开放手术相同的切除范围,仰卧位能同时清扫双侧腹膜后淋巴结及盆腔淋巴,避免中途左右转换体位的麻烦,降低手术风险,可应用于非精原细胞瘤的淋巴结诊断及治疗。Objective To explore the method of laparoscopic bilateral retroperitoneal and pelvic lymph node dissection for testicular cancer in supine position.Methods Bilateral retroperitoneal and pelvic lymph node dissection via laparoscopy were performed in 3 cases.The literatures at home and abroad were reviewed and summarized.Results During the operation,22 retroperitoneal lymph nodes and 10 pelvic lymph nodes were dissected,with less bleeding during the operation and returned to the ward safely after the operation.Conclusion Laparoscopic bilateral retroperitoneal and pelvic lymph node dissection through abdominal approach has a wide range,ranging from the level of the upper renal artery to the level of the lower iliac artery,with clear anatomical markers.It can achieve the same resection range as open surgery.Supine position can simultaneously remove bilateral retroperitoneal lymph nodes and pelvic lymph nodes,avoid the trouble of changing positions from left to right,and reduce the risk of operation.It can be applied to non-spermatogonial cells.Diagnosis and treatment of lymph nodes.

关 键 词：腹膜后淋巴结清扫 经腹途径 腹腔镜 

分 类 号：R73[医药卫生—肿瘤]