Boullier J A, Hagood P G, Parra R O
Department of Surgery, St. Louis University School of Medicine, Missouri.
Urology. 1993 Jan;41(1 Suppl):19-25. doi: 10.1016/0090-4295(93)90190-l.
Recent reports have established the feasibility and minimal morbidity of laparoscopic pelvic lymph node dissection in the staging of prostate and bladder cancer. In addition, a prospective study recently published established the completeness and efficacy of this form of endocavitary surgical lymphadenectomy with respect to the standard modified open procedure. The method's utility prior to definitive radiation therapy or radical perineal prostatectomy is obvious. However, clear indications of its utility in identifying men with positive nodes prior to radical retropubic prostatectomy are less clear. A description of the surgical technique as well as a review of the existing literature, and our present indications for its use are presented. In addition, possible future applications of endocavitary node dissection will be put in context.
近期报告已证实，腹腔镜盆腔淋巴结清扫术在前列腺癌和膀胱癌分期中的可行性及最低发病率。此外，最近发表的一项前瞻性研究证实了这种腔内手术淋巴结清扫术相对于标准改良开放手术的完整性和有效性。该方法在确定性放射治疗或根治性会阴前列腺切除术之前的效用显而易见。然而，其在耻骨后根治性前列腺切除术之前识别淋巴结阳性男性方面的明确效用尚不明确。本文介绍了手术技术、现有文献综述以及我们目前对其使用的指征。此外，还将阐述腔内淋巴结清扫术未来可能的应用情况。
