同期腹腔镜下双侧腹股沟淋巴结清扫术在阴茎癌手术中的应用

目的 探讨同期腹腔镜下双侧腹股沟淋巴结清扫术在阴茎癌手术中的临床应用价值。方法 回顾性分析2012年4月至2014年8月采用该手术方法治疗的14例阴茎鳞状细胞癌患者的临床资料。结果所有手术均顺利完成，手术平均时间112 min，术中平均出血量47 ml，平均住院时间10 d；平均切除淋巴结数量为9.1枚，14例共28处腹股沟淋巴结中，2处有5枚淋巴结发生转移。术后1例患者右侧下肢出现皮下积液伴高热，经治疗后好转，其余患者无明显并发症。术后随访2～48个月，所有患者均无肿瘤复发和转移。结论 阴茎癌同期行腹腔镜双侧淋巴结清扫术具有术中出血少、术后恢复快、住院时间短、并发症少等优点，是一项安全有效的手术。

Simultaneous bilateral laparoscopic inguinal lymphadenectomy for penile carcinoma

Objective To evaluate the clinical effect of simultaneous bilateral laparoscopic inguinal lymphadenectomy for penile cancer. Methods From April 2012 to August 2014， 14 patients with squamous cell carcinoma of the penis receiving simultaneous bilateral laparoscopic inguinal lymphadenectomy were enrolled. The perioperative results and follow up data were analyzed. Results The operations were successfully performed in all patients. The mean operative time was 112 min. The mean blood loss was 47 ml. The mean hospital duration was 10 d. The mean number of lymph nodes was 9.1. One patient had fever and there was seroma in his right limb after operation but he got recover soon. The other patients had no complications. Follow up ranged from 2 to 48 months， there was no evidence of recurrence and metastasis. Conclusion Simultaneous bilateral laparoscopic inguinal lymphadenectomy is a safe and effective technique. It leads to less intraoperative blood loss， less hospitalization duration， less postoperative complications and quick postoperative recovery.