腹腔镜腹膜后淋巴结清扫术在睾丸癌治疗中的应用
Laparoscopic retroperitoneal lymph node dissection in the management of testis cancer.
作者信息
Correa José J, Politis Christos, Rodriguez Alejandro R, Pow-Sang Julio M
机构信息
Genitourinary Oncology Program, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL 33612, USA.
出版信息
Cancer Control. 2007 Jul;14(3):258-64. doi: 10.1177/107327480701400309.
BACKGROUND
The surgical approach to management of testis cancer has been traditionally through an open incision, but in the last decade, several centers have reported their experience with laparoscopic retroperitoneal lymph node dissection (LRPLND).
METHODS
We reviewed the English literature, summarized the outcomes, and included our initial experience with the LRPLND procedure.
RESULTS
Improvements in operative time, complications, and morbidity have occurred as surgical experience has increased. The procedure is more challenging in postchemotherapy patients. Outcomes at our institute are comparable to reported series from other institutions, and LRPLND is our current procedure of choice for RPLND.
CONCLUSIONS
LRPLND has been shown to be a safe, effective, minimally invasive procedure in the management of testicular cancer patients who require surgery to address the retroperitoneal lymph nodes.
背景
睾丸癌的手术治疗传统上是通过开放切口进行，但在过去十年中，多个中心报告了他们开展腹腔镜腹膜后淋巴结清扫术（LRPLND）的经验。
方法
我们查阅了英文文献，总结了治疗结果，并纳入了我们开展LRPLND手术的初步经验。
结果
随着手术经验的增加，手术时间、并发症和发病率都有所改善。该手术在化疗后患者中更具挑战性。我们研究所的治疗结果与其他机构报告的系列结果相当，LRPLND是我们目前治疗腹膜后淋巴结清扫术（RPLND）的首选手术方式。
结论
对于需要手术处理腹膜后淋巴结的睾丸癌患者，LRPLND已被证明是一种安全、有效、微创的手术方式。
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