A retrospective analysis of laparoscopic and open inguinal lymphadenectomy for the treatment of the patients with penis carcinoma
10.3760/cma.j.issn.1000-6702.2013.07.013
- VernacularTitle:阴茎癌腹腔镜下和开放式腹股沟淋巴结清扫术的对比研究
- Author:
Xiaolong QI
;
Yuelong ZHANG
;
Feng LIU
;
Qi ZHANG
;
Mi ZHOU
;
Dahong ZHANG
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Inguinal lymph nodes;
Penile carcinoma;
Inguinal lymphadenectomy
- From:
Chinese Journal of Urology
2013;(7):522-525
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of laparoscopic surgery and open surgery of inguinal lymphadenectomy in patients with penis carcinoma.Methods A retrospective case-control study was carried out.The retrospective analysis of clinic data of 10 patients with penis carcinoma who had laparoscopic inguinal lymphadenectomy and 13 who had open inguinal lymphadeneetomy were collected from June 2007 to June 2011,with an average age of 57 (40-75 years),and the average follow-up of 18.6 months (7 days to 9 years).Preoperative clinical stage were T1 in 10 cases,T2 in 7 cases,T3 in 6 cases,with 10 patients detecting inguinal lymph nodes enlargement,while three of which have two enlarged lymph nodes.The age of patients,duration of disease,tumor stage and lymph node enlargement have no statistically significant difference between laparoscopic surgery (LS) group and open surgery (OS) group.The mean operation time,intraoperative blood loss,time of postoperative drainage,hospitalization duration,mean number of excised lymph nodes and postoperative complications were analyzed.Results The mean operative time,intraoperative blood loss,time of postoperative drainage,and hospitalization duration of LS group and OS group were (103.6 ± 15.2) min,(56.5 ±6.8) ml,(5.8±0.8) d,(8.5±1.1) d versus (156.8±18.3) min,(88.5±9.5) ml,(12.5±1.3) d,(15.7±1.9) d,respectively.There was significantly different between the two groups (P＜0.05).However,the mean number of lymph nodes and the mean number of positive lymph nodes excised were not statistically different between the two groups (P＞0.05).There was no transfusion,and no severe complications occurred in either group.With the follow-up of 12-48 months,only one case of lung metastasis detected in OS group.Conclusions Compared with the open inguinal lymphadenectomy,laparoscopic inguinal lymphadenectomy is more safe and effective.It leads to less intraoperative blood loss,less hospitalization duration,less postoperative complications and quick postoperative recovery.
