Vorob'ev G I, Odariuk T S, Tsar'kov P V, Eropkin P V
Khirurgiia (Mosk). 1998(4):4-8.
The results of aortoiliopelvic lymphadenectomy in macroscopic changes in lymphatic nodes being revealed intraoperatively in 73 patients with locally spread rectal cancer, are represented. Morphological examination of the removed tissues made it possible to reveal metastatic involvement of paraaortal and iliac lymphatic nodes in 57.3% of patients. In 36.9% of cases combined radical operations were performed. There were no lethal outcomes. Postoperative complications were detected in 37.9% of cases, among them atony of the urine bladder in 30.1% and inflammatory processes in pelvic cavity--in 8.2%. And in 9 men with normal sexual potency before the operation it resulted in impotency after surgery. 5-year survival made up 27.4% including cases with metastatic involvement of lymphatic nodes--19.3%, and without it--35.7%.
本文展示了73例局部扩散直肠癌患者术中显露的主动脉髂骨盆腔淋巴结清扫术在淋巴结宏观变化方面的结果。对切除组织进行形态学检查发现，57.3%的患者存在主动脉旁和髂淋巴结转移。36.9%的病例进行了联合根治手术。无死亡病例。37.9%的病例检测到术后并发症，其中膀胱无张力占30.1%，盆腔炎症占8.2%。9例术前性功能正常的男性术后出现阳痿。5年生存率为27.4%，其中有淋巴结转移的病例为19.3%，无淋巴结转移的病例为35.7%。
