皮肤多点靶位固定技术在阴茎癌腹股沟淋巴结清扫中的应用
Application of skin multi-point target fixation technique in the dissection of inguinal lymph nodes in penile cancer
谢蛟魁 1李均1
作者信息
- 1. 安康市中心医院泌尿外科,安康 725000
- 折叠
摘要
目的:探讨通过皮肤多点靶位固定技术联合腹腔镜下腹股沟淋巴结清扫术(LILND)在阴茎癌患者中的应用.方法:回顾性分析安康中心医院泌尿外科2011年9月至2023 年10月收治的阴茎癌患者26 例,根据术后是否采用靶位固定技术分为研究组16例和对照组10例.研究组术中采取皮肤多点靶位固定技术LILND,对照组采取常规LILND.其中研究组 10例经下腹部皮下(LILND-H),6例经下肢股部皮下(LILND-L),对照组6例LILND-H,4例LILND-L.比较组间基线资料、术中出血量、手术时间、淋巴结清扫数目、住院时间、引流管留置时间及并发症.结果:两组切口感染率差异有统计学意义(P<0.05).研究组LILND-H患者中2例术后发生下肢水肿,1例术后伤口感染,1例淋巴囊肿.研究组LILND-H住院时间和负压引流置管时间分别为(10.30±2.00)d、(6.56±0.97)d,LILND-L住院时间和负压引流置管时间分别为(10.00±1.79)d、(6.42±0.93)d,对照组LILND-H住院时间和负压引流置管时间为(12.67±1.51)d、(8.44±1.42)d,LILND-L住院时间和负压引流置管时间分别为(7.79±0.65)d、(12.75±1.71)d,差异均有统计学意义(P<0.05).结论:LILND联合皮肤多点靶位固定技术治疗阴茎癌疗效确切,不仅达到良好的瘤控效果,同时恢复快、创伤小、并发症发生率低.
Abstract
Objective:To explore the application of skin multi-point target fixation technique combined with lap-aroscopic inguinal lymph node dissection(LILND)in patients with penile cancer.Methods:26 patients with penile cancer admitted to the Department of Urology,Ankang Central Hospital from September 2011 to October 2023 were retrospectively analyzed.They were divided into a study group(16 cases)and a control group(10 cases)based on whether the target fixation technique was used after surgery.The study group underwent LILND using the multi-point skin target fixation technique,while the control group underwent conventional LILND.In the study group,10 cases underwent through the lower abdomen subcutaneous dissection(LILND-H),6 cases through the lower limbs(LILND-L),and in the control group,there were 6 cases of LILND-H and 4 cases of LILND-L.Baseline data,in-traoperative blood loss,operative time,number of lymph nodes dissected,length of hospital stay,catheter retention time,and complications were compared between groups.Results:There was a significant difference in incision infec-tion rate between the two groups(P<0.05).In the study group who underwent LILND-H,postoperative lower limb edema occurred in 2 patients;one patient had postoperative wound infection;and one patient developed lymphocyst.The hospital stay and negative pressure drainage tube placement time of LILND-H patients in the study group were(10.30±2.00)d and(6.56±0.97)d respectively;those of LILND-L patients were(10.00±1.79)d and(6.42±0.93)d respectively.In contrast,the hospital stay and negative pressure drainage tube placement time of LILND-H patients in the control group were(12.67±1.51)d and(8.44±1.42)d respectively,and those of LILND-L patients were(7.79±0.65)d sand(12.75±1.71)d respectively with statistical significance(P<0.05).Conclusion:The combination of laparoscopic inguinal lymph node dissection(LILND)with skin multi-point target fixation technique for treating pe-nile cancer is effective,achieving excellent tumor control while promoting rapid recovery,minimal trauma,and a low incidence of complications.
关键词
阴茎肿瘤/淋巴结/淋巴结清扫术Key words
penile neoplasms/lymph nodes/lymph nodes dissection引用本文复制引用
出版年
2024
NETL
NSTL
万方数据