McDowell G C, Johnson J W, Tenney D M, Johnson D E
Department of Urology, University of Texas M. D. Anderson Cancer Center, Houston.
Urology. 1990 Jun;35(6):476-82. doi: 10.1016/0090-4295(90)80098-8.
We reviewed the findings of 217 consecutive pelvic lymphadenectomies performed in patients with clinically localized prostatic carcinoma focusing particular attention on the importance of completely removing the hypogastric lymph nodes and on the operative complications associated with a more extensive dissection. Metastatic disease was identified in the lymph nodes of 127 patients (58.6%). The hypogastric nodes were involved in two thirds of the patients with lymph node metastases, and in 29 percent the hypogastric nodes were the only site of metastasis. No increased operative morbidity was documented as a result of extending the level of the pelvic lymphadenectomy to include the lower hypogastric nodes. We conclude that although the lower hypogastric lymph nodes have not been routinely included in most pelvic lymphadenectomies, their removal is important in detecting metastases.
我们回顾了217例临床局限性前列腺癌患者连续接受盆腔淋巴结清扫术的结果，特别关注完全切除下腹淋巴结的重要性以及与更广泛解剖相关的手术并发症。127例患者（58.6%）的淋巴结中发现转移病灶。三分之二有淋巴结转移的患者下腹淋巴结受累，29%的患者仅下腹淋巴结为转移部位。将盆腔淋巴结清扫范围扩大至包括下腹下淋巴结，并未记录到手术发病率增加。我们得出结论，尽管大多数盆腔淋巴结清扫术通常未常规包括下腹下淋巴结，但切除这些淋巴结对检测转移很重要。
