Matsuda T, Arai Y, Terachi T, Oishi K, Takeuchi H, Yoshida O
Department of Urology, Faculty of Medicine, Kyoto University.
Hinyokika Kiyo. 1992 Apr;38(4):419-24.
Laparoscopic pelvic lymphadenectomy is a newly developed technique of lymph node dissection in patients with malignancy of the pelvic organs. Three patients with localized prostatic cancer underwent laparoscopic pelvic lymphadenectomy. The patients were 77 years old with stage C disease, 73 with stage B1, and 65 with stage A2. Five to ten lymph nodes were removed from each patient after laparoscopic procedures lasting 220 to 270 minutes. There were no complications during the procedures and their convalescence was uneventful. All lymph nodes were negative by pathological examination and a radical retropubic prostatectomy was done 2 weeks after the lymphadenectomy in two patients. The other patient was treated with external radiotherapy and bilateral orchiectomy. Patients with stage C cancer, a high serum level of prostate specific antigen or a high grade tumor are the best candidates for this less invasive staging procedure. The disadvantage of this procedure is long operation time and complications due to CO2 pneumoperitoneum.
腹腔镜盆腔淋巴结清扫术是一种新开发的用于盆腔器官恶性肿瘤患者的淋巴结清扫技术。三名局限性前列腺癌患者接受了腹腔镜盆腔淋巴结清扫术。患者年龄分别为77岁（C期疾病）、73岁（B1期）和65岁（A2期）。在持续220至270分钟的腹腔镜手术后，每位患者切除了5至10个淋巴结。手术过程中无并发症，恢复过程顺利。病理检查所有淋巴结均为阴性，两名患者在淋巴结清扫术后2周进行了耻骨后前列腺根治性切除术。另一名患者接受了体外放疗和双侧睾丸切除术。C期癌症、血清前列腺特异性抗原水平高或肿瘤分级高的患者是这种侵入性较小的分期手术的最佳候选者。该手术的缺点是手术时间长以及二氧化碳气腹引起的并发症。
