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恶性肿瘤腹股沟淋巴结清扫术后的发病率仍然是一个挑战:来自印度东北部的经验。

Morbidity Following Groin Dissection in Malignancy Remains a Challenge: an Experience from North-East India.

作者信息

Das Gaurav, Doke Rohan, Purkayastha Joydeep, Talukdar Abhijit, Kalita Deepjyoti, Khanna Sachin, Vihari P Chandrasekhar, Sahewalla Ashutosh

机构信息

Department of Surgical Oncology, Dr B Borooah Cancer Institute, Guwahati, India.

出版信息

Indian J Surg Oncol. 2021 Sep;12(3):561-564. doi: 10.1007/s13193-021-01388-4. Epub 2021 Jul 22.

DOI:10.1007/s13193-021-01388-4
PMID:34658586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8490537/
Abstract

Inguinal lymph nodal dissection is notoriously associated with high morbidity. Various risk factors and technical modifications have been described in the past to overcome complications like lymphedema, wound breakdown, and infection which adversely affect the postoperative outcome and quality of life of the patient. This is a retrospective observational study from 1 January 2016 to 31 December 2019 of patients who underwent inguinal/ilio-inguinal block dissection for malignancy. Lymphedema was the most frequent morbidity seen (24%). The mean hospital stay of patients following surgery was 9.7 days (range 4 to 28 days). The inguinal drain was removed on a mean of 17.7 days (range 4 to 21 days), while mean iliac drain removal time was 11.7 days (range 4 to 21 days).

摘要

腹股沟淋巴结清扫术因发病率高而臭名昭著。过去已经描述了各种风险因素和技术改进措施,以克服诸如淋巴水肿、伤口裂开和感染等并发症,这些并发症会对患者的术后结果和生活质量产生不利影响。这是一项回顾性观察研究,研究对象为2016年1月1日至2019年12月31日期间因恶性肿瘤接受腹股沟/髂腹股沟淋巴结清扫术的患者。淋巴水肿是最常见的并发症(24%)。患者术后平均住院时间为9.7天(范围为4至28天)。腹股沟引流管平均在17.7天(范围为4至21天)拔除,而髂部引流管平均拔除时间为11.7天(范围为4至21天)。

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本文引用的文献

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Technique of inguinal node dissection.腹股沟淋巴结清扫术
Surgery. 1948 Sep;24(3):555-67.
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Morbidity of inguinal lymphadenectomy for invasive penile carcinoma.浸润性阴茎癌腹股沟淋巴结清扫术的发病率。
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Postoperative complications after vulvectomy and inguinofemoral lymphadenectomy using separate groin incisions.采用单独腹股沟切口行外阴切除术及腹股沟股淋巴结清扫术后的并发症
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Morbidity following groin dissection for penile carcinoma.阴茎癌腹股沟淋巴结清扫术后的发病率。
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Groin dissection in malignant melanoma.恶性黑色素瘤的腹股沟淋巴结清扫术
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