Dekster L I, Vasil'ev B V
Vopr Onkol. 1979;25(3):17-20.
The authors report the results of studying the complications of iliac lymphadenectomy--lymphocysts developed after radical operations in 16 of 415 operated patients with cancer of the uterus. The method of indirect radioisotope lymphography may be considered to be the most simple method of detecting lymphatic cysts. Small size lymphocysts require no special surgical intervention. Extensive incapsulated lymph accumulation renders mandatory the incision and drainage of the lymphocyst in the iliac region at the site of the involvement. The most rational prophylactic measures against lymphocysts seem to be the provision for active lymph outflow by vacuum drainage.
作者报告了对髂淋巴结清扫术并发症的研究结果——在415例子宫癌手术患者中,有16例在根治性手术后出现了淋巴囊肿。间接放射性同位素淋巴造影术可被认为是检测淋巴囊肿最简单的方法。小尺寸的淋巴囊肿无需特殊手术干预。广泛的包膜下淋巴积聚使得必须在受累部位对髂区的淋巴囊肿进行切开引流。预防淋巴囊肿最合理的措施似乎是通过负压引流保证淋巴的有效流出。