Zamora A, Balladur A, Rolet F, Salet-Lizee D, Lefranc J P, Blondon J
J Chir (Paris). 1987 May;124(5):323-5.
Pelvic lymphadenectomy for genital cancer can lead to numerous complications, particularly lymphoceles. Two types of drainage were compared in a series of 86 patients treated by enlarged lymphadeno-colpohysterectomy. In the first group (n = 66), hermetic peritonization with aspiration drainage was performed and in the second group (n = 20), non-peritonization combined with omentoplasty was practiced. Lymphoceles developed in 23% of patients in group I, requiring 7.7% of recovery operations (5 cases). Lymphoceles did not occur in group 2. Qualities of reabsorption of peritoneum and omentum are discussed. Their combined use to avoid lymphocele complications is of benefit, particularly in patients receiving preoperative pelvic radiotherapy.
生殖器癌盆腔淋巴结清扫术可导致多种并发症，尤其是淋巴囊肿。在一系列86例行扩大淋巴结 - 阴道子宫切除术的患者中比较了两种引流方式。第一组（n = 66）采用封闭腹膜化并进行抽吸引流，第二组（n = 20）采用非腹膜化联合网膜成形术。第一组23%的患者发生了淋巴囊肿，其中7.7%（5例）需要进行修复手术。第二组未发生淋巴囊肿。讨论了腹膜和网膜的吸收特性。联合使用它们以避免淋巴囊肿并发症是有益的，特别是对于接受术前盆腔放疗的患者。
