Froeling F M, Witjes J A, Oosterhof G O
Academisch Ziekenhuis, afd. Urologie, Nijmegen.
Ned Tijdschr Geneeskd. 1995 Mar 25;139(12):618-22.
To assess the value of laparoscopic lymph node dissection of the obturator fossa in patients with prostate carcinoma with high risk of lymph node metastases.
Prospective descriptive study.
Department of Urology, University Hospital Nijmegen, the Netherlands.
Prior to curative therapy for prostate carcinoma a bilateral laparoscopic pelvic lymph node dissection was performed in 25 patients, with a high risk of lymph node metastases on the basis of tumour size, tumour grade or serum prostate specific antigen.
In 52% (13/25) of the patients lymph node metastases were found. Once a laparotomy was performed for an arterial bleeding. A mean of 11.6 lymph nodes were removed during bilateral dissection of the obturator fossa. Three quarter of the patients were discharged one day postoperatively.
A laparoscopic lymph node dissection is a valuable tool for the evaluation of pelvic lymph nodes in patients with a clinically localised prostate carcinoma and a high risk of lymph node metastases.
评估对有高淋巴结转移风险的前列腺癌患者行闭孔窝腹腔镜淋巴结清扫术的价值。
前瞻性描述性研究。
荷兰奈梅亨大学医学中心泌尿外科。
在对25例因肿瘤大小、肿瘤分级或血清前列腺特异性抗原而有高淋巴结转移风险的前列腺癌患者进行根治性治疗前，实施双侧腹腔镜盆腔淋巴结清扫术。
52%（13/25）的患者发现有淋巴结转移。有一次因动脉出血而进行了剖腹手术。双侧闭孔窝清扫术中平均切除11.6个淋巴结。四分之三的患者术后一天出院。
对于临床局限性前列腺癌且有高淋巴结转移风险的患者，腹腔镜淋巴结清扫术是评估盆腔淋巴结的一种有价值的手段。
