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腹膜外盆腔淋巴结清扫术后淋巴囊肿的形成:可能的诱发因素。

Lymphocele formation after extraperitoneal pelvic lymphadenectomy: possible predisposing factors.

作者信息

Ojeda L, Sharifi R, Lee M, Mouli K, Guinan P

出版信息

J Urol. 1986 Sep;136(3):616-8. doi: 10.1016/s0022-5347(17)44994-9.

DOI:10.1016/s0022-5347(17)44994-9
PMID:3735537
Abstract

A retrospective review of 61 patients undergoing pelvic lymphadenectomy was performed to assess possible predisposing factors for lymphocele development. The procedure was done to facilitate staging of prostatic carcinoma in all of the patients. The complication occurred in 9 patients (14.8 per cent). Analysis revealed a statistically significantly higher incidence of lymphoceles in patients without drainage (p less than 0.05) and in patients whose lymph nodes had no metastatic disease (p less than 0.025). Furthermore, 9 patients (without drainage and with nodes that were free of tumor but who received mini-dose heparin therapy) as a subgroup had the highest incidence of lymphocele formation. Although these individual factors have been attributed to this complication after lymphadenectomy they may act synergistically.

摘要

对61例行盆腔淋巴结清扫术的患者进行回顾性研究,以评估发生淋巴囊肿的可能诱发因素。所有患者均接受该手术以利于前列腺癌分期。9例患者(14.8%)出现了并发症。分析显示,未行引流的患者(p<0.05)以及淋巴结无转移疾病的患者(p<0.025)发生淋巴囊肿的发生率在统计学上显著更高。此外,9例患者(未行引流且淋巴结无肿瘤但接受小剂量肝素治疗)作为一个亚组,淋巴囊肿形成的发生率最高。虽然这些个体因素已被认为是淋巴结清扫术后该并发症的原因,但它们可能起协同作用。

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1
Lymphocele formation after extraperitoneal pelvic lymphadenectomy: possible predisposing factors.腹膜外盆腔淋巴结清扫术后淋巴囊肿的形成:可能的诱发因素。
J Urol. 1986 Sep;136(3):616-8. doi: 10.1016/s0022-5347(17)44994-9.
2
Effect of mini-dose heparin on lymphocele formation following extraperitoneal pelvic lymphadenectomy.小剂量肝素对腹膜外盆腔淋巴结清扫术后淋巴囊肿形成的影响。
J Urol. 1980 Jun;123(6):890-2. doi: 10.1016/s0022-5347(17)56180-7.
3
Lymphocele after pelvic lymphadenectomy for urologic cancer.泌尿外科癌症盆腔淋巴结清扫术后的淋巴囊肿
Urology. 1981 Jan;17(1):39-43. doi: 10.1016/0090-4295(81)90009-1.
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Pelvic lymphadenectomy and brachytherapy for prostatic cancer. Analysis of early postoperative morbidity.前列腺癌的盆腔淋巴结清扫术及近距离放射疗法。术后早期发病率分析。
Eur Urol. 1986;12(4):265-9. doi: 10.1159/000472633.
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Massive lymphocele following pelvic lymphadenectomy for staging of prostatic cancer.前列腺癌分期盆腔淋巴结清扫术后出现巨大淋巴囊肿。
Lymphology. 1989 Mar;22(1):36-41.
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Delayed infection of a pelvic lymphocele following pelvic lymphadenectomy.盆腔淋巴结清扫术后盆腔淋巴囊肿的延迟感染。
Urology. 1996 Jan;47(1):140-2. doi: 10.1016/s0090-4295(99)80402-6.
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Morbidity of pelvic lymphadenectomy and radical prostatectomy for prostatic cancer.前列腺癌盆腔淋巴结清扫术和根治性前列腺切除术的发病率
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引用本文的文献

1
Effective management of pelvic lymphocysts by laparoscopic marsupialization.腹腔镜开窗术对盆腔淋巴囊肿的有效管理。
JSLS. 1999 Apr-Jun;3(2):97-102.
2
Lymphocele.淋巴囊肿
Ann R Coll Surg Engl. 1993 Nov;75(6):387-92.