Progress of treatment strategy after obturator nerve injury during pelvic lymph node dissection
10.3969/j.issn.1006-5725.2024.15.024
- VernacularTitle:盆腔淋巴结清扫术中闭孔神经损伤的治疗进展
- Author:
Ling-Min HE
1
,
2
;
Yunhao ZHANG
;
Xu SUN
;
Aobing MEI
Author Information
1. 贵州医科大学(贵阳 550025)
2. 贵州医科大学附属金阳医院、贵阳市第二人民医院(金阳医院)泌尿外科(贵阳 550081)
- Keywords:
obturator nerve injury;
pelvic lymph node dissection;
complications;
treatment strategies
- From:
The Journal of Practical Medicine
2024;40(15):2183-2186
- CountryChina
- Language:Chinese
-
Abstract:
Obturator nerve injury(ONI)is a rare complication of pelvic lymph node dissection(PLND).Once ONI occurs,ipsilateral lower limb sensory and motor dysfunction occurs,even affecting daily life.During PLND operation,different types of obturator nerve injuries occur due to various injury mechanisms,and different repair strategies are available according to different injury types.The fundamental repair strategy is to restore the anatomical structure of obturator nerve.Timely intraoperative surgical repair,postoperative adjuvant drug or physi-cal therapy,and the prognosis is good.The purpose of this article is to summarize the treatment and prevention of different types of ONI during PLND for prostate cancer and bladder cancer,which has guiding significance for urologists to avoid and treat ONI during PLND.
