Analysis of early prognosis and complication of laparoscopic bilateral inguinal lymph node dissection in penile cancer
Zhang, M1; Lu, M1; Liu, Y1; Liu, W1; Huang, Y1; Wang, H1
1: , China
Objective: To study the early prognosis of patients with bilateral inguinal lymph node dissection after laparoscopic surgery, including the complications such as flap necrosis, lymphatic leakage, lymphatic cyst, delayed healing or even nonunion.
Methods: From September 2016 to October 2017, our department diagnosed 6 patients with penile cancer, aged 40 years to 78 years, mean 54 years old. Patients underwent laparoscopic bilateral inguinal lymph node dissection for one month after penile tumor resection. Patients postoperative indwelling catheter, negative pressure drainage tube, postoperative routine wear elastic mesh socks.
Results: The average operation time was 105 min on the left side and 90min on the right side. The average blood loss was less than 50ml. No blood transfusion was given. Patients with postoperative intestinal exhaust time 1.7 days, 3 days after surgery to remove the catheter. The average retention catheter for 11 days. One patient had lymphatic drainage after surgery, indwelling drainage tube for 3 weeks, improved after conservative treatment, no patients with skin necrosis, delayed healing and other complications. Postoperative pathology: the average number of left groin lymph nodes 9.3, the right side of the average number of lymph nodes 10.2, of which 1 found inguinal lymph node metastases (1/11), to systemic chemotherapy.
Conclusion: Laparoscopic bilateral inguinal lymph node dissection is a safe and effective surgical method, can significantly reduce the wound infection, skin necrosis, subcutaneous edema and lymphedema.
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