视频内镜检查与开放性腹股沟淋巴结清扫术的效率比较

Comparison of Efficiency of Video Endoscopy and Open Inguinal Lymph Node Dissection.

作者信息

Wang Shuo, Du Peng, Tang Xingxing, An Chao, Zhang Ning, Yang Yong

机构信息

Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Urological Department, Peking University Cancer Hospital & Institute, Beijing, P.R. China.

Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Urological Department, Peking University Cancer Hospital & Institute, Beijing, P.R. China

出版信息

Anticancer Res. 2017 Aug;37(8):4623-4628. doi: 10.21873/anticanres.11863.

DOI:10.21873/anticanres.11863

PMID:28739762

Abstract

AIMS

To compare the efficiency and complications of video endoscopy, inguinal lymphadenectomy and open inguinal lymph node dissection.

PATIENTS AND METHODS

Nineteen video endoscopy inguinal lymphadenectomies were performed on 16 patients from September 2014 to December 2015, and 21 open inguinal lymph node dissections were performed on 18 patients from September 2013 to September 2014. Surgical time, operative blood loss, incidence of complications, length of stay, lymph node harvest and suture removal time were compared between the two groups.

RESULTS

Operative time (135.5±45.52 vs. 169.8±55.19 min), lymph node harvest (10.78±5.22 vs. 12.60±5.53), and hospital stay (10.43±2.53 vs. 12.50±4.98 days) did not statistically differ between the two groups (p>0.05). However, operative blood loss (22.50±14.24 vs. 68.44±42.19 ml), drainage tube removal time (7.23±1.79 vs. 11.44±2.69 days), incidence of complications (21.05% vs. 61.9%), and suture removal time (7.52±1.24 vs. 12.81±2.04 min) were significantly reduced in the video endoscopy surgery group compared with the open surgery group (p<0.05).

CONCLUSION

Compared with open surgery, video endoscopy surgery achieved the same efficiency, and had the advantage of reduction of complications, suture removal time and in-surgery blood loss.

摘要

目的

比较视频内镜下腹股沟淋巴结清扫术、腹股沟淋巴结切除术及开放性腹股沟淋巴结清扫术的效率和并发症。

患者与方法

2014年9月至2015年12月，对16例患者实施了19例视频内镜下腹股沟淋巴结清扫术；2013年9月至2014年9月，对18例患者实施了21例开放性腹股沟淋巴结清扫术。比较两组的手术时间、术中出血量、并发症发生率、住院时间、淋巴结收获量及拆线时间。

结果

两组的手术时间（135.5±45.52对169.8±55.19分钟）、淋巴结收获量（10.78±5.22对12.60±5.53）及住院时间（10.43±2.53对12.50±4.98天）差异无统计学意义（p>0.05）。然而，与开放手术组相比，视频内镜手术组的术中出血量（22.50±14.24对68.44±42.19毫升）、引流管拔除时间（7.23±1.79对11.44±2.69天）、并发症发生率（21.05%对61.9%）及拆线时间（7.52±1.24对12.81±2.04分钟）均显著降低（p<0.05）。