CAJ | 학술논문

目的探讨经下腹部皮下通路的腹腔镜下腹股沟淋巴清扫术(VEIL-H)在外阴癌根治术中的可行性及近期临床疗效.方法 2009年9月至2012年12月在南方医科大学珠江医院、广州医学院第三附属医院等7家医院,对15例外阴癌患者进行了VEIL-H及广泛外阴切除术(RV).结果 15例中2例术中快速病理检查提示一侧腹股沟单枚淋巴结受累,加行了腹腔镜下盆腔淋巴结清扫术(LPL)；VEIL-H(双侧腹股沟)平均手术时间(80.8±2.9)min; VEIL-H术中出血量(5.5 ±0.4) ml,术后引流管平均放置(6±2)d；术后住院时间(ll±4)d；平均随访13个月,外阴局部复发1例.结论 VEIL-H进行腹股沟淋巴结切除是可行的,可作为外阴癌治疗的手术治疗的一种新的手术方式.
목적 탐토경하복부피하통로적복강경하복고구림파청소술(VEIL-H)재외음암근치술중적가행성급근기림상료효.방법 2009년9월지2012년12월재남방의과대학주강의원、엄주의학원제삼부속의원등7가의원,대15예외음암환자진행료VEIL-H급엄범외음절제술(RV).결과 15례중2례술중쾌속병리검사제시일측복고구단매림파결수루,가행료복강경하분강림파결청소술(LPL)；VEIL-H(쌍측복고구)평균수술시간(80.8±2.9)min; VEIL-H술중출혈량(5.5 ±0.4) ml,술후인류관평균방치(6±2)d；술후주원시간(ll±4)d；평균수방13개월,외음국부복발1례.결론 VEIL-H진행복고구림파결절제시가행적,가작위외음암치료적수술치료적일충신적수술방식.
Objective To evaluate the feasibility and safety of applying video endoscopic inguinal lymphadenectomy via hypogastric subcutaneous approach (VEIL-H) in the treatment of vulvar carcinoma.Methods From September 2009 to December 2012,15 patients with vulvar carcinoma underwent VEIL-H plus radical vulvectomy at many participating hospitals.Results All were treated surgically.Two of them underwent laparoscopic pelvic lymphadenectomy (LPL) upon the positive results of parotid operations with frozen section.The mean operative duration of VEIL-H (bilateral groin) were (80.8 ± 2.9) minutes.The mean total volume of blood loss in VEIL was (5.5 ± 0.4) ml,the mean drainage duration (6 ± 2) days and the average postoperative hospitalization (11 ±4) days.The mean follow-up period was 13.0 months.One patient suffered local recurrence at Month 2 postoperation.Conclusion VEIL-H is both feasible and safe in inguinal lymphadenectomy.