单孔腹腔镜腹股沟淋巴清扫术在早期阴道恶性肿瘤中的应用  

Single-port laparoscopic inguinal lymphatic dissection in early vaginal malignancy

作　　者：贾秋成 汤慧敏 陈继明[1] 陈婉莹 李阳[1] 唐斌 郑虹[1] 魏炜炜 施如霞[1] JIA Qiucheng;TANG Huimin;CHEN Jiming;CHEN Wanying;LI Yang;TANG Bin;ZHENG Hong;WEI Weiwei;SHI Ruxia(Department of Gynecology,The Third Affiliated Hospital of Nanjing Medical University(Changzhou Second People's Hospital),Changzhou,Jiangsu 213000,China)

机构地区：[1]南京医科大学第三附属医院(常州市第二人民医院)妇科,江苏常州213000

出　　处：《手术电子杂志》2024年第3期12-15,共4页Electronic Journal of Medical Operations

基　　金：常州市高层次卫生人才培养工程(2022CZBJ074);江苏省妇幼健康重点人才项目(RC202101);江苏省妇幼健康科研项目(F202138);江苏省博士后科研资助计划(2019K064);江苏省“333工程”科研资助项目(BRA2019161)

摘　　要：本手术方式采用膀胱截石位,全身麻醉后消毒铺单。沿阴道病灶周围2 cm界限局部完整切除阴道后壁病灶,进行缝合。于右侧腹股沟韧带上方3 cm斜行切开皮肤长约2.5 cm置入单孔腹腔镜镜鞘,分离暴露腹股沟韧带及周围组织,切除腹股沟上部淋巴结;暴露股三角,将腹股沟下部淋巴结系统切除。同法处理对侧腹股沟淋巴结。充分止血后缝合伤口,放置闭式负压引流,关闭腹壁伤口完成单孔腹腔镜腹股沟淋巴结清扫术。本手术视频主要展示了单孔腹腔镜腹股沟淋巴切除术(右侧)。This surgical approach was performed in the cystotomy position with general anaesthesia and disinfected sheets.Local complete excision of the lesion on the posterior vaginal wall was performed along the 2 cm limit around the vaginal lesion and the incision was sutured.The skin was cut obliquely 3 cm above the right inguinal ligament for about 2.5 cm,and a single-port laparoscopic sheath was inserted to separate and expose the inguinal ligament and surrounding tissues,and to remove the upper inguinal lymph nodes;then the femoral triangle was exposed,and the lower inguinal lymph node system was removed.The contralateral inguinal lymph nodes were treated in the same way.After adequate haemostasis,the wound was sutured,closed negative pressure drainage was placed,and the abdominal wall wound was closed to complete the single-port laparoscopic inguinal lymph node dissection.This surgical video mainly demonstrates single-port laparoscopic inguinal lymphadenectomy(right side).

关 键 词：单孔腹腔镜 阴道恶性肿瘤 腹股沟淋巴结清扫 

分 类 号：R73[医药卫生—肿瘤]