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岭南现代临床外科 ›› 2019, Vol. 19 ›› Issue (02): 235-240.DOI: 10.3969/j.issn.1009-976X.2019.01.025

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腹股沟淋巴结清扫在阴茎癌治疗中的应用

吴上超, 李再尚, 张学齐*   

  1. 深圳市人民医院
  • 通讯作者: 张学齐
  • 基金资助:
    深圳市卫生系统临床科研项目

The application of inguinal lymph node dissection in penile neoplasms′ treatment

WU Shangchao, LI Zaishang, ZHANG Xueqi   

  1. Department of Urology, ShenZhen People′s Hospital, 2nd Clinical Medical College of Jinan University, Shenzhen 518020, China
  • Online:2019-04-20 Published:2019-04-20
  • Contact: ZHANG Xueqi

摘要: [摘要] 阴茎癌是一种比较少见的恶性肿瘤。其发病率具有显著的地域差异性,其中,在欧美等发达国家具有较低的发病率,然而,在非洲、南美洲以及亚洲的部分发展中国家或地区,阴茎癌的发病率较高。目前,阴茎癌的主要治疗方法包括:保留阴茎的治疗(微小病灶切除术);阴茎部分切除术;阴茎根治性切除术。区域淋巴结有无转移、转移程度、能否根治切除是影响阴茎癌患者生存率的决定性因素。阴茎癌最早和最常见的区域淋巴结转移部位为腹股沟淋巴结,本文主要阐述了传统开放手术、改良的腹股沟淋巴结清扫术、腹腔镜与机器人辅助腹股沟淋巴结清扫手术在阴茎癌治疗中的应用及各手术方式常见并发症及防治措施。

关键词: 腹股沟淋巴结清扫, 淋巴漏, 阴茎癌, 并发症

Abstract: [Abstract] Penile neoplasms is a rare malignant tumor in clinical, its incidence is obvious differently in different regions on the world, it′s with a low incidence for the developed countries, such as Europe and the United States. But, the penile neoplasms′ incidence is higher in Africa, South America, parts of Asia such as India because of the poor health condition. The current treatment methods for penile neoplasms mainly include: Phallic preserving surgery. Partial phallic resection; Radical resection of the penis. Regional lymph node invaded or not for the penile neoplasms patients, and a radical inguinal lymph node dissection is the decisive factor that affect the patient′s survival rate. The inguinal lymph nodes are the earliest and most common regional lymph node metastases of penile carcinoma.This paper has reviewed the application of the open inguinal lymph node dissection, modified inguinal lymphadenectomy, video endoscopic inguinal lymphadenectomy, robotic?assisted inguinal lymphadenectomy in penile neoplasms patients,and the major complications of each surgery method.

Key words: complications, lymphorrhea, penile neoplasms, inguinal lymph node dissection

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