CAJ | 학술논문

目的探讨同期行阴茎癌原发病灶切除和改良根治性腹股沟淋巴结清扫术的可行性.方法回顾性分析2002年6月至2010年6月55例同期行阴茎癌切除和改良根治性腹股沟淋巴结清扫术的患者资料.患者年龄27～73岁,平均49岁.行同期改良根治性腹股沟淋巴结清扫术107侧,1侧行腹股沟淋巴结清扫术之前曾行大隐静脉抽出术,2侧行同期经典根治性腹股沟淋巴结清扫术. 结果 107侧改良根治性腹股沟淋巴结清扫术后发生切口感染1侧次(0.9％),下肢淋巴水肿18侧次(16.8％),皮瓣坏死6侧次(5.6％).每侧切除淋巴结3 ～23枚,平均11枚.3年总生存率为84％. 结论阴茎癌切除同期行改良根治性腹股沟淋巴结清扫术可保证控瘤效果,不增加手术后并发症,是适合阴茎癌患者的治疗策略.
목적 탐토동기행음경암원발병조절제화개량근치성복고구림파결청소술적가행성.방법 회고성분석2002년6월지2010년6월55례동기행음경암절제화개량근치성복고구림파결청소술적환자자료.환자년령27～73세,평균49세.행동기개량근치성복고구림파결청소술107측,1측행복고구림파결청소술지전증행대은정맥추출술,2측행동기경전근치성복고구림파결청소술. 결과 107측개량근치성복고구림파결청소술후발생절구감염1측차(0.9％),하지림파수종18측차(16.8％),피판배사6측차(5.6％).매측절제림파결3 ～23매,평균11매.3년총생존솔위84％. 결론 음경암절제동기행개량근치성복고구림파결청소술가보증공류효과,불증가수술후병발증,시괄합음경암환자적치료책략.
Objective To verify whether the concomitant performance of modified radical inguinal lymphadenectomy and penectomy may increase complications and compromise oncological effectiveness.Methods From June 2002 to June 2010,a total of 110 simultaneous inguinal lymphadenectomies were performed on 55 patients (mean age 49 years),including 107 modified radical lymphadenectomies,2 radical lymphadenectomies and 1 lymphadenectomy before which the sapheous vein was resected.The records of all patients were reviewed.Results Of 107 simultaneously modified radical inguinal lymphadenectomy,only 1 (0.9％) had wound infection.There were 18 ( 16.8％ ) leg lymphedema and 6 (5.6％) skin flap necrosis,postoperatively.The average number of inguinal lymph nodes dissected was 11 (3 -23 ).Overall 3-year survival was 84％.Conclusions Penile surgery combined with simultaneously modified radical inguinal lymphadenectomy could be feasible,which may have oncological control without increasing the risk of surgical complications.