Brun J L
Clinique gynécologique, hôpital Saint-André, Bordeaux, France.
Bull Cancer. 1995 Sep;82(9):711-6.
The author reports some review articles about post-operative lymphocele in gynecological and breast cancer surgery. Post-operative sonography often shows an increased incidence of this complication which is unsuspected with only physical examination. Curative treatment of the postoperative lymphocele is performed by puncture, drainage or excision if lymphocysts become fibrous. Preventive treatment after lymphadenectomy is performed by padding of the axilla after breast cancer surgery or visceral non-peritonization after extended lymphadeno-colpohysterectomies. There is no real solution to prevent lymphocele after inguinal lymphadenectomy.
作者报告了一些关于妇科和乳腺癌手术中术后淋巴囊肿的综述文章。术后超声检查常显示这种并发症的发生率增加，而仅通过体格检查往往无法发现。如果淋巴囊肿纤维化，术后淋巴囊肿的根治性治疗可通过穿刺、引流或切除进行。乳腺癌手术后通过腋窝填塞或广泛淋巴结切除-阴道子宫全切除术后通过内脏非腹膜化来进行淋巴结切除术后的预防性治疗。腹股沟淋巴结切除术后没有真正预防淋巴囊肿的解决办法。
