腹腔镜腹股沟淋巴结切除术治疗转移性黑色素瘤。
Videoscopic inguinal lymphadenectomy for metastatic melanoma.
机构信息
Division of Surgical Oncology, Department of Surgery, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA 30322, USA.
出版信息
Cancer Control. 2013 Oct;20(4):255-60. doi: 10.1177/107327481302000403.
BACKGROUND
The standard treatment of care for melanoma metastatic to the inguinal lymph node basin is lymphadenectomy. However, up to 50% of patients forgo the operation partly due to concerns about morbidity. Videoscopic inguinal lymphadenectomy (VIL) is a minimally invasive technique designed to minimize wound complications while achieving comparable oncological control.
METHODS
We reviewed pertinent literature related to open inguinal lymphadenectomy and VIL specific to melanoma, offering personal experience where appropriate.
RESULTS
Despite efforts to minimize the complications of open inguinal lymphadenectomy, approximately 50% of patients experience a wound-related complication. However, performing minimally invasive VIL has led to a significant decrease in length of hospital stay, a decrease in complications, and equivalent or superior lymph node retrieval in patients with metastatic melanoma to the inguinal basin.
CONCLUSIONS
VIL is an alternative to open inguinal lymphadenectomy for patients with melanoma and regional metastases.
背景
治疗腹股沟淋巴结转移的黑素瘤的标准方法是淋巴结清扫术。然而，多达 50%的患者由于担心发病率而放弃了手术。电视辅助腹股沟淋巴结切除术（VIL）是一种微创技术，旨在最大限度地减少伤口并发症，同时实现类似的肿瘤控制。
方法
我们回顾了与开放性腹股沟淋巴结清扫术和 VIL 相关的黑色素瘤的相关文献，并在适当的情况下提供了个人经验。
结果
尽管努力减少开放性腹股沟淋巴结清扫术的并发症，但约有 50%的患者出现与伤口相关的并发症。然而，进行微创 VIL 导致住院时间显著缩短，并发症减少，并且在腹股沟区域转移的黑素瘤患者中，淋巴结的获取量相当或更好。
结论
VIL 是治疗黑素瘤和局部转移患者的另一种选择。
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