改良髂腹股沟淋巴结清扫术治疗转移性黑色素瘤。
Modified ilioinguinal node dissection for metastatic melanoma.
作者信息
Pearlman N W, Robinson W A, Dreiling L K, McIntyre R C, Gonzales R
机构信息
Department of Surgery, University of Colorado Health Sciences Center, Denver, USA.
出版信息
Am J Surg. 1995 Dec;170(6):647-9; discussion 649-50. doi: 10.1016/s0002-9610(99)80034-8.
BACKGROUND
Standard ilioinguinal node dissection for melanoma has substantial cost and morbidity. Beginning in 1988, we modified the procedure in hopes of reducing side effects without compromising survival.
PATIENTS AND METHODS
Dissection was standard except for preservation of saphenous vein and femoral sheath and omission of sartorius muscle transfer. To date, 19 patients with recurrent melanoma in the groin have had the procedure, 6 for N1 disease and 13 for N2, M1 metastases.
RESULTS
Average hospital stay was 4.5 days (range 3 to 7). Postoperative edema occurred in 1 (5%) patient. Disease-free survival at 40 months was 66% for N1 disease and 26% for N2, M1 metastases.
CONCLUSION
Modified ilioinguinal node dissection appears to reduce cost and morbidity of treating recurrent melanoma in the groin without compromising survival.
背景
黑色素瘤标准的髂腹股沟淋巴结清扫术成本高昂且并发症多。自1988年起，我们对该手术进行了改良，希望在不影响生存率的前提下减少副作用。
患者与方法
除保留大隐静脉和股鞘以及不进行缝匠肌转移外，其余操作均为标准操作。迄今为止，19例腹股沟复发性黑色素瘤患者接受了该手术，其中6例为N1期疾病，13例为N2、M1期转移。
结果
平均住院时间为4.5天（范围3至7天）。1例（5%）患者出现术后水肿。N1期疾病患者40个月时的无病生存率为66%，N2、M1期转移患者为26%。
结论
改良髂腹股沟淋巴结清扫术似乎能降低治疗腹股沟复发性黑色素瘤的成本和并发症，且不影响生存率。
Zotero 插件