Ravi R
Department of Genitourinary Surgery, Cancer Institute (W.I.A.), Madras, India.
Br J Urol. 1993 Dec;72(6):941-5. doi: 10.1111/j.1464-410x.1993.tb16304.x.
From 1962 to 1990, 231 inguinal and 174 ilio-inguinal lymphadenectomies were performed on 234 patients with penile carcinoma. The morbidity of inguinal lymphadenectomy included wound infection in 18%, skin edge necrosis in 61%, seroma formation in 5% of dissections, and lymphoedema in 25% of limbs. The morbidity of ilio-inguinal lymphadenectomy included wound infection in 14%, skin edge necrosis in 64%, seroma formation in 9% of dissections, and lymphoedema in 29% of limbs. Pre-operative radiation to the groin significantly increased the healing complications. The routine use of a myocutaneous flap for primary reconstruction of the groin following ilio-inguinal lymphadenectomy resulted in 100% primary wound healing and significantly reduced the post-operative hospital stay to a mean of 10 days.
1962年至1990年期间，对234例阴茎癌患者实施了231例腹股沟淋巴结清扫术和174例髂腹股沟淋巴结清扫术。腹股沟淋巴结清扫术的并发症包括18%的伤口感染、61%的皮肤边缘坏死、5%的清扫部位出现血清肿以及25%的肢体出现淋巴水肿。髂腹股沟淋巴结清扫术的并发症包括14%的伤口感染、64%的皮肤边缘坏死、9%的清扫部位出现血清肿以及29%的肢体出现淋巴水肿。术前对腹股沟区进行放疗显著增加了愈合并发症。在髂腹股沟淋巴结清扫术后常规使用肌皮瓣对腹股沟区进行一期重建，实现了100%的一期伤口愈合，并显著缩短了术后住院时间，平均住院时间为10天。
