Dobroschke Jakob, Groß Tina, Weitz Jürgen, Reißfelder Christoph
Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie, Uniklinikum Carl Gustav Carus an der technischen Universität Dresden, Deutschland.
Zentralbl Chir. 2018 Aug;143(4):348-350. doi: 10.1055/s-0044-102257. Epub 2018 Mar 19.
Radical inguinal lymphadenectomy is a standardised operation, which is exhibits high morbidity of up to 77%. These complications often lead to a delay in the planned adjuvant therapy. The objective of this video is to present videoendoscopic inguinal lymphadenectomy (VEIL), which seems to show less morbidity.
There is no difference between the indications for open lymphadenectomy and VEIL. Prior excision of a sentinel lymph node is not a contraindication.
After blunt dissection of the subcutaneous tissue with exposure of Scarpa's fascia, 3 - 4 ports are placed in the preformed space. The femoral lymph nodes are dissected under insufflation of CO and the tissue is removed in a retrieval bag.
Several studies have shown that VEIL offers a good alternative to open lymphadenectomy, with fewer complications, particularly with respect to wound healing.
根治性腹股沟淋巴结清扫术是一种标准化手术，其发病率高达77%。这些并发症常常导致计划中的辅助治疗延迟。本视频的目的是展示视频内镜下腹股沟淋巴结清扫术（VEIL），该手术似乎发病率较低。
开放性淋巴结清扫术和视频内镜下腹股沟淋巴结清扫术的适应症没有差异。先前切除前哨淋巴结并非禁忌症。
钝性分离皮下组织以暴露斯卡帕筋膜后，在预先形成的空间放置3 - 4个端口。在二氧化碳气腹下解剖股淋巴结，并将组织装入回收袋中取出。
多项研究表明，VEIL是开放性淋巴结清扫术的良好替代方法，并发症较少，尤其是在伤口愈合方面。
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