Bihrle R, Donohue J P, Foster R S
Department of Urology, Indiana University School of Medicine, Indianapolis.
Urol Clin North Am. 1988 May;15(2):237-42.
In summary, the complications of retroperitoneal lymph node dissection for low-stage testis cancer appear to be minimal, especially with the advent of nerve sparing techniques. However, the approximate 30 per cent of patients who require primary chemotherapy and do not attain a complete remission are candiates for postchemotherapy retroperitoneal lymphadenectomy, and these patients are subject to a higher risk of intraoperative and postoperative complications. Maintaining awareness of these potential complications may aid in preventing morbidity in this group of patients.
总之,对于低分期睾丸癌患者,腹膜后淋巴结清扫术的并发症似乎极少,尤其是随着保留神经技术的出现。然而,大约30%需要接受初始化疗且未达到完全缓解的患者是化疗后腹膜后淋巴结清扫术的候选者,这些患者术中及术后并发症的风险更高。对这些潜在并发症保持警惕可能有助于预防该组患者出现发病情况。