髋关节和膝关节置换作为腹腔镜盆腔淋巴结清扫术的相对禁忌证。
Hip and knee replacement as a relative contraindication to laparoscopic pelvic lymph node dissection.
作者信息
Cooper C S, Donovan J F, Terrell R B, Cohen M B, Winfield H N
机构信息
Department of Urology, University of Iowa, Iowa City, USA.
出版信息
J Urol. 1997 Jul;158(1):128-30. doi: 10.1097/00005392-199707000-00039.
PURPOSE
We investigated the effect of lower extremity joint prostheses on subsequent laparoscopic pelvic lymph node dissection.
MATERIALS AND METHODS
We reviewed the records and pathology studies of 5 patients who underwent laparoscopic pelvic lymph node dissection subsequent to total hip or knee replacement from 1990 through 1995.
RESULTS
Four of the 5 laparoscopic operations were complicated, 3 were unsuccessful in obtaining bilateral pelvic lymph nodes and 2 required conversion to an open procedure. Examination of the lymph nodes revealed sinus histiocytosis in the 4 cases in which nodal tissue was removed.
CONCLUSIONS
The increased risk of complications in certain patients with lower extremity joint prostheses may contraindicate attempted laparoscopic pelvic lymph node dissection.
目的
我们研究了下肢关节假体对随后腹腔镜盆腔淋巴结清扫术的影响。
材料与方法
我们回顾了1990年至1995年间5例在全髋关节或膝关节置换术后接受腹腔镜盆腔淋巴结清扫术患者的记录和病理研究。
结果
5例腹腔镜手术中有4例出现并发症，3例未能成功获取双侧盆腔淋巴结，2例需要转为开放手术。对淋巴结的检查显示，在4例切除淋巴结组织的病例中存在窦组织细胞增生。
结论
某些患有下肢关节假体的患者并发症风险增加，可能不适合尝试腹腔镜盆腔淋巴结清扫术。
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