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对阴茎癌的腹腔镜双侧 inguinal 淋巴切除术的前期和后期比较

Dingqi Sun¹, Hui Zhang¹, Tongxiang Diao¹

¹Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, People's Republic of China.

Journal of cancer research and therapeutics

|January 10, 2025

概括

前级腹腔镜双侧 inguinal 淋巴切除术 (ALIL) 是阴茎癌的可行和安全的手术,与逆向腹腔镜 inguinal 淋巴切除术 (RLIL) 相比,提供更短的手术时间和减少的血液损失. 这两种方法都显示出类似的临床结果.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学
最少侵入性的手术

背景情况:

阴茎癌需要淋巴切除术来管理结节转移.
laparoscopic 方法比开放式手术提供了潜在的好处.
对比前进和后退技术对于优化外科手术策略至关重要.

研究的目的:

在阴茎癌患者中,比较前期腹腔镜 inguinal 淋巴切除术 (ALIL) 与逆行腹腔镜 inguinal 淋巴切除术 (RLIL) 的可行性,安全性和临床结果.
为了评估手术时间,血液损失和术后并发症.
评估长期的瘤结果和患者的康复.

主要方法:

对32名阴茎癌患者 (2018-2022) 的回顾性分析.
17名患者接受了ALIL,15名患者接受了RLIL.
操作时间,血液损失,住院,淋巴结产量,并发症和随访数据的比较.

主要成果:

无论是ALIL还是RLIL都是通过腹腔镜完成的,没有转换为开放手术.
与RLIL相比,ALIL的手术时间显著缩短 (P < 0.001),血液损失较少 (P < 0.001).
在ALIL组的住院时间显著缩短 (P = 0.027),淋巴结检索和并发症率相似.

结论:

艾利尔和RLIL在阴茎癌中提供了可比的术后结果.
ALIL与提高效率 (更短的手术时间,更少的血液损失) 和患者舒适性 (更短的住院时间) 有关.
通过避免仪器重新定位,ALIL简化了手术,并促进了同时进行的盆腔淋巴切除术.

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