Modified technique of radical inguinal lymphadenectomy to reduce the complication of skin necrosis for penile carcinoma
10.3760/cma.j.issn.1000-6702.2011.12.009
- VernacularTitle:改良技术减少阴茎癌根治性腹股沟淋巴结清扫术后皮瓣坏死的效果分析
- Author:
Hui HAN
;
Kai YAO
;
Zijun ZOU
;
Yonghong LI
;
Zike QIN
;
Zhuowei LIU
;
Fangjian ZHOU
- Publication Type:Journal Article
- Keywords:
Lymph node excision;
Groin;
Penile neoplasms;
Carcinoma;
Skin necrosis
- From:
Chinese Journal of Urology
2011;32(12):811-814
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report a modified radical inguinal lymphadenectomy the aim of which is to reduce the incidence of the complication of skin necrosis.Methods One hundred and twenty-six modified radical inguinal dissections were performed in 63 patients with penile carcinoma from June 2002 to June 2010.A modified radical inguinal dissection characterized by an S-shaped incision and precisely separating layers using an anatomical mark was performed.The boundaries of dissection were the same as classic radical inguinal lymphadenectomy.The incidences of complications of skin flap necrosis were retrospectively analyzed.Results The follow-up time ranged from 12 to 93 months.A total of 37 complications occurred,including 7 minimal skin necroses (5.6％),3 wound infections (2.4％),19 lymphedemas (15.1％),2 seroma formations (1.6％),5 lymphocele (4.0％),and 1 deep venous thrombosis (0.8％).There were no complications in 106 dissections (84.1％ ),and 20 dissections had one or two minor complications ( 15.9％ ).Conclusions The complication of skin necrosis related to groin dissection in patients with penile carcinoma could be reduced by using this modified inguinal dissection technique,which characterized by an S-shaped incision and precisely separating layers with using an anatomical landmark.
