Le Aiwen, Xiong Jie, Wang Zhonghai, Dai Xiao Yun, Xiao Tian Hui, Zhuo Rong, Xu Ya Hong, Yuan Rui
Department of Obstetrics and Gynaecology, The Nanshan Affiliated Hospital of Shenzhen University, Shenzhen, 518052, China.
Department of Obstetrics and Gynaecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400011, China.
Arch Gynecol Obstet. 2018 May;297(5):1277-1283. doi: 10.1007/s00404-018-4732-6. Epub 2018 Mar 8.
To explore the feasibility and efficiency of video endoscopic inguinal lymphadenectomy (VEIL) for vulvar cancer.
We evaluated 46 patients with vulvar cancer. Treatment included VEIL using the hypogastric subcutaneous approach (VEIL-H, 17 patients), VEIL with the limb subcutaneous surgical approach (VEIL-L, 8 patients), and open inguinal lymphadenectomy (OIL, 21 patients). All patients underwent radical vulvectomy; we evaluated operative time, the amount of bleeding, SF score, recurrence rate, etc. RESULTS: The durations of VEIL-H and VEIL-L were 170.79 ± 18.92 and 180.12 ± 17.88 min, respectively, which were longer than that of OIL (100.68 ± 11.37 min; P = 0.028). Bleeding volumes in the VEIL-H and VEIL-L groups were 15.23 ± 2.17 and 17.16 ± 2.35 ml, respectively; there were significantly lower than that of the OIL group (36.68 ± 3.48 ml; P = 0.021). The numbers of unilateral lymph nodes harvested were similar in all groups. The duration of hospitalization in VEIL group was shorter than that of the OIL group. There were less skin and lymphatic complications after VEIL than after OIL. Total SF-36 scores were significantly higher in the VEIL group than that in the OIL group (P = 0.032). There were no statistically significant differences in local recurrence, distant metastasis, and mortality among the three groups.
VEIL for vulvar cancer treatment is effective, with the advantages of short hospitalization stay, less bleeding, and reduced postoperative complications comparing the OIL.
探讨视频内镜下腹股沟淋巴结切除术（VEIL）治疗外阴癌的可行性和有效性。
我们评估了46例外阴癌患者。治疗方法包括采用腹下皮下入路的VEIL（VEIL-H，17例患者）、采用肢体皮下手术入路的VEIL（VEIL-L，8例患者）以及开放性腹股沟淋巴结切除术（OIL，21例患者）。所有患者均接受了根治性外阴切除术；我们评估了手术时间、出血量、SF评分、复发率等。结果：VEIL-H和VEIL-L的手术时间分别为170.79±18.92分钟和180.12±17.88分钟，均长于OIL（100.68±11.37分钟；P=0.028）。VEIL-H组和VEIL-L组的出血量分别为15.23±2.17毫升和17.16±2.35毫升，均显著低于OIL组（36.
