改良腹腔镜经腹皮下途径腹股沟淋巴结清扫术(附光盘)

腹股沟淋巴结转移与阴茎癌患者预后密切相关,及时行腹股沟淋巴结清扫术是阴茎癌治疗的重要组成部分。腹腔镜腹股沟淋巴结清扫术肿瘤控制效果与开放手术相似,并发症明显减少。但有关手术入路、清扫途径及大隐静脉保留等方面,方法各有不同。我们采用经腹皮下顺行途径入路,并对腹腔镜腹股沟淋巴结清扫术进行改良,本文就改良腹腔镜经腹皮下途径腹股沟淋巴结清扫手术步骤及技术改进要点等进行介绍。

Modified laparoscopic inguinal lymphadenectomy via abdominal subcutaneous approach

Inguinal lymph node metastasis of penile cancer is closely related to the prognosis.Therefore,timely inguinal lymphadenectomy is an important part in the treatment.Laparoscopic inguinal lymphadenectomy has comparable tumor control effect as open surgery,but significantly reduced incidence of complications.The two methods have different operative approach,cleaning approach and saphenous vein reservation.We have improved laparoscopic inguinal lymphadenectomy through the abdominal subcutaneous anterograde approach and will introduce the surgical steps and technical improvements in this paper.