摘要
目的总结腹腔镜下妇科恶性肿瘤盆腔淋巴结清扫术的手术经验，探讨其实用价值、优点及术中的注意事项。方法对腹腔镜妇科恶性肿瘤盆腔淋巴结清扫术17例的临床资料作回顾性分析及追踪随访。结果17例患者15例在腹腔镜下完成盆腔淋巴结清扫术，2例中转开腹。术中平均出血310ml，清扫淋巴结平均18枚；术后盆腔引流管保留4～7天，平均5天；术后1例患者发生输尿管阴道瘘，行输尿管内双J管置入术并保留导尿，3个月后拔管痊愈。术后随访3个月，仅有一例发生淋巴囊肿。结论腹腔镜盆腔淋巴结清扫术野清晰，出血少，术后盆腔引流管保留时间短，淋巴囊肿形成少。
Objective To summarize the experience of lymphadenectomy during laparoscopy for formation of malig- nant tumor, its cost, advantages and precautions to be taken. Methods Retrospectively analyzing the 17 cases that re- ceived laparoscopic pelvic lymphadenectomy for pelvic malignancies with follow - up. Results All the 15 cases were successfully performed by laparoseopie pelvic lymphadenectomy, in which 2 cases were converted to laparotomy. The av- erage blood loss was 310 ml in operation. The average harvested lymph nodes was 18. There was only one uretero - vagi- nal fistula after operation, which was healed by placing double - J tube at the injury in ureter and keeping catheter for 3 months. Postoperative pelvic drainage tubes were kept for 4 - 7 days, 5 days in average. Only one case was found to have lymphocyst with a follow up for 3 moths. Conclusion Lymphadenectomy under laparoscopy has clear goals, minimizing bleeding, keeping postoperative pelvic drainage tube retention time shorter and decreasing the chance of lymphocyst for- marion.
出处
《徐州医学院学报》
CAS
2013年第3期206-208,共3页
Acta Academiae Medicinae Xuzhou
关键词
腹腔镜
盆腔淋巴结清扫
妇科恶性肿瘤
laparoscope
plevic lymphadenectomy
gynecological malignant tumor
