Bowsher W G, Clarke A, Clarke D G, Costello A J
Department of Urology, St Vincent's Hospital, Melbourne, Victoria, Australia.
Aust N Z J Surg. 1992 Aug;62(8):634-7. doi: 10.1111/j.1445-2197.1992.tb07535.x.
Improvements in instruments and camera systems have allowed the development of operative techniques for laparoscopic pelvic lymph node dissection. A series of dissections in 20 patients is reported. The mean operation time was 1 h and 40 min. When the nodes appeared malignant, a node biopsy was sent for frozen section. If this was positive, the dissection went no further. In three patients it was necessary to complete the operation by open surgery. A mean number of five lymph nodes was dissected per side. After laparoscopic dissection, all patients were discharged the morning after surgery. The operation is possible without making great demands on hospital bed occupancy and the patient has a comfortable and speedy return to normal activity. Using laparoscopic techniques, node dissection becomes a more appealing option as an investigation and staging procedure.
器械和摄像系统的改进推动了腹腔镜盆腔淋巴结清扫术手术技术的发展。本文报道了对20例患者进行的一系列手术。平均手术时间为1小时40分钟。当淋巴结显示为恶性时，会取淋巴结活检送冰冻切片检查。如果结果为阳性，则不再继续清扫。有3例患者需要通过开放手术完成手术。每侧平均清扫5个淋巴结。腹腔镜清扫术后，所有患者均在术后次日上午出院。该手术无需占用大量病床，患者能舒适且迅速地恢复正常活动。使用腹腔镜技术，淋巴结清扫作为一种检查和分期程序，成为了更具吸引力的选择。
