Hamilton B D, Winfield H N
Department of Urology (A-100), Cleveland Clinic Foundation, OH 44195, USA.
Tech Urol. 1996 Winter;2(4):220-4.
Pelvic lymphoceles are a known complication of urologic surgery. Often, these are small and asymptomatic and require no specific therapy. When large or symptomatic, the treatment of choice is controversial, but includes needle aspiration, percutaneous drainage, sclerotherapy, open surgical marsupialization or, most recently, laparoscopic marsupialization. The laparoscopic technique described herein has been performed successfully by many urologists and is accepted as a standard laparoscopic procedure. Because of its efficacy and its low morbidity, laparoscopic marsupialization may be considered a first-line treatment for pelvic lymphoceles.
盆腔淋巴囊肿是泌尿外科手术中一种已知的并发症。通常,这些囊肿较小且无症状,无需特殊治疗。当囊肿较大或出现症状时,治疗方法存在争议,但包括穿刺抽吸、经皮引流、硬化治疗、开放手术袋形缝合术,或者最近出现的腹腔镜袋形缝合术。本文所述的腹腔镜技术已被许多泌尿外科医生成功实施,并被公认为一种标准的腹腔镜手术。由于其有效性和低发病率,腹腔镜袋形缝合术可被视为盆腔淋巴囊肿的一线治疗方法。