视频腹腔镜腹股沟-髂-闭孔淋巴结清扫术：黑色素瘤患者区域淋巴结切除术的新视频腹腔镜技术

Videoscopic Inguinal-iliac-obturator Lymph-node Dissection: New Videoscopic Technique for Regional Lymphadenectomy in Patients with Melanoma.

作者信息

Solari Nicola, Gipponi Marco, Franco DI Somma Carmine, Rè Francesca, Sonia Olcese, Bertoglio Sergio, Cafiero Ferdinando

机构信息

Surgery Unit 1, San Martino Hospital & National Cancer Institute, Genoa, Italy.

Breast Unit, University of Genoa, School of Medicine, San Martino Hospital & National Cancer Institute, Genoa, Italy

出版信息

Anticancer Res. 2016 Dec;36(12):6579-6583. doi: 10.21873/anticanres.11262.

DOI:10.21873/anticanres.11262

PMID:27919986

Abstract

AIM

The feasibility of videoscopic inguinal-iliac-obturator lymphadenectomy (VIIOL) was assessed in 20 patients with melanoma and compared with a retrospective sample of 24 patients undergoing standard 'open' technique (IIOL).

RESULTS

No postoperative death occurred; the mean operative time was lower in the IIOL series (190 min vs. 302 min) but the quality of life was greatly improved in the VIIOL group thanks to earlier bladder catheter removal, no nasogastric suction, less pain, earlier mobilization, lower in-hospital stay, and earlier resumption of daily activities (27.6 vs. 83.2 days, p<0.001). Six out of 20 patients in the IIOL series had wound complications (30%) as compared to one in the VIIOL series (4%) (p=0.035).

CONCLUSION

Staging and therapeutic efficacy of VIIOL were similar to the standard technique; the longer operative time of VIIOL was greatly compensated by less pain, lower wound complication rate, and earlier discharge from hospital and recovery of daily activities.

摘要

目的

评估20例黑色素瘤患者行视频腹腔镜腹股沟 - 髂骨 - 闭孔淋巴结清扫术（VIIOL）的可行性，并与24例行标准“开放”技术（IIOL）的回顾性样本进行比较。

结果

无术后死亡发生；IIOL组平均手术时间较短（190分钟对302分钟），但VIIOL组患者生活质量显著改善，这得益于更早拔除膀胱导管、无需鼻胃管抽吸、疼痛减轻、更早活动、住院时间缩短以及更早恢复日常活动（27.6天对83.2天，p<0.001）。IIOL组20例患者中有6例出现伤口并发症（30%），而VIIOL组为1例（4%）（p = 0.035）。