Burkhard Fiona C, Schumacher Martin, Studer Urs E
Department of Urology at the University Hospital in Bern, Switzerland.
Nat Clin Pract Urol. 2005 Jul;2(7):336-42. doi: 10.1038/ncpuro0245.
It has been shown that an adequate lymphadenectomy for exact staging of prostate cancer consists of removal of all the tissue along the external iliac vein, in the obturator fossa and along the internal iliac artery. Morbidity associated with this procedure is low, if certain technical details are respected. This review discusses in detail the indications for lymphadenectomy and the extent of dissection, based on the localization of the positive nodes. The potential therapeutic impact of extended lymph node dissection in men with prostate cancer is also addressed.
已经表明,为准确进行前列腺癌分期而进行的充分淋巴结清扫术包括切除沿髂外静脉、闭孔窝和沿髂内动脉的所有组织。如果遵循某些技术细节,该手术相关的发病率较低。本综述根据阳性淋巴结的定位,详细讨论了淋巴结清扫术的适应证和解剖范围。还探讨了扩大淋巴结清扫术对前列腺癌男性患者的潜在治疗影响。