Kean J, Hough M, Stevenson J H
Department of Plastic Surgery, Ninewells Hospital, Dundee, United Kingdom.
Lymphology. 2006 Sep;39(3):141-6.
A 10-year retrospective review of 25 patients undergoing groin lymphadenectomy for cutaneous malignancy in the Tayside region of the UK was conducted. Comparison was made between patients undergoing the procedure with an elliptical incision orientated as a long oblique of at least 4cm width (group 1) and those undergoing a similarly oriented incision with no skin excision (group 2). Outcome measures including survival, postoperative complications, operative time and hospital stay were analyzed. Patients in group I suffered significantly fewer complications (p < 0.004) and shorter hospital stay (p < 0.008). Elliptical excision of at least 4cm width is our preferred technique for groin lymphadenectomy in the treatment of cutaneous malignancy of the lower limb.
对英国泰赛德地区25例因皮肤恶性肿瘤接受腹股沟淋巴结清扫术的患者进行了为期10年的回顾性研究。对采用至少4厘米宽的长斜椭圆形切口进行手术的患者（第1组）和采用同样方向切口但不切除皮肤的患者（第2组）进行了比较。分析了包括生存率、术后并发症、手术时间和住院时间在内的结果指标。第1组患者的并发症明显较少（p < 0.004），住院时间较短（p < 0.008）。至少4厘米宽的椭圆形切除术是我们治疗下肢皮肤恶性肿瘤时腹股沟淋巴结清扫术的首选技术。
