Department of Urology, Albert Einstein College of Medicine, Bronx, NY, USA.
Urol Clin North Am. 2011 Nov;38(4):507-18, vii. doi: 10.1016/j.ucl.2011.07.013.
Lymphadenectomy in urologic surgery provides accurate staging and may be therapeutic in some patients with lymph node metastases. In addition to the associated cost, pelvic lymph node dissection (PLND) has the potential for morbidity. This article focuses on the complications associated with PLND, including lymphocele, thromboembolic events, ureteral injury, nerve injury, vascular injury, and lymphedema. With improvements in surgical technique and perioperative care, the morbidity associated with lymphadenectomy may be minimized.
在泌尿外科手术中,淋巴结切除术可提供准确的分期,并且对一些有淋巴结转移的患者可能具有治疗作用。除了相关费用外,盆腔淋巴结清扫术(PLND)还有发生并发症的风险。本文重点介绍与 PLND 相关的并发症,包括淋巴囊肿、血栓栓塞事件、输尿管损伤、神经损伤、血管损伤和淋巴水肿。随着手术技术和围手术期护理的改进,淋巴结切除术相关的发病率可能会降到最低。