Fujioka T, Nomura K, Okamoto T, Aoki H, Ohhori T, Kubo T
Department of Urology, Iwate Medical University School of Medicine, Morioka, Japan.
Int Surg. 1993 Apr-Jun;78(2):154-8.
During the past 4 years, 16 patients with testicular tumor underwent retroperitoneal lymph node dissection using the thoracoabdominal extraperitoneal approach described by Scardino. In 4 of them, the lymph node dissection was performed without pleurotomy using our modified technique. No uncontrollable intra- or post-complications or operative deaths occurred in our series. From our experience, it was concluded that the thoracoabdominal approach was suitable for maximum exposure of the retroperitoneal area and was associated with lower mobility. Furthermore, our modified extrapleural extraperitoneal technique also provided an excellent operative field comparable to the thoracoabdominal approach.
在过去4年中，16例睾丸肿瘤患者采用斯卡迪诺描述的胸腹腹膜外入路进行了腹膜后淋巴结清扫术。其中4例患者使用我们改良的技术在未进行胸膜切开术的情况下进行了淋巴结清扫。我们的系列研究中未发生无法控制的术中或术后并发症或手术死亡。根据我们的经验，得出的结论是，胸腹入路适合最大程度地暴露腹膜后区域，且活动度较低。此外，我们改良的胸膜外腹膜外技术也提供了与胸腹入路相当的优良手术视野。
