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中華民國泌尿科醫學會雜誌

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篇名 Preliminary Experience in Laparoscopic Pelvic Lymph Node Dissection
卷期 3:4
並列篇名 腹腔鏡骨盆淋巴腺摘除術
作者 黃志賢邱文祥陳明村張心湜
頁次 910-915
關鍵字 laparoscopelymphadenopathydissectionTSCI
出刊日期 199212

中文摘要

對於攝護腺癌及膀胱癌確定治療的分期,腹腔鏡骨盆淋巴腺摘除術可以說是一項利器。從1991年7月至1992年5月,總共有十二位病人接受此手術。其中五位患攝護腺癌,平均年齡73.2歲;此外五男一女患膀胱癌,平均66.4歲。三位攝護腺癌患者各有一個轉移的淋巴腺,此手術耗時平均為188分鐘。除去一例此術做淋巴腺切片外,平均摘取之淋巴腺各數為12.6。有一位患者引流管放置了44天,其他無明顯之併發症。約三到五天後均可回復日常活動。在接續的根除手術中,發現殘存淋巴腺之比例為7.2%(125個淋巴腺有9個殘存)。第一位接受此術的膀胱癌患者最後是以開刀的方式收場,因此從腹腔鏡手術轉成開刀之比例為8.3%。縱觀之,腹腔鏡骨盆摘除術可以說是一種安全的手術,適用於攝護腺癌及膀胱癌分期之判定。

英文摘要

Laparoscopoic pelvic lymph node dissection (LPLND) is a helpful diagnostic procedure for staging cancer of the prostate (CaP) and teansitional cell carcinoma of the urinary bladder (TCCUB)prior to definitve treatment. From July 1991 to may 1992, LPLND was performed in 12 patients, 5 male with CaP, mean age 73.2 years; and 6CaP had one positive lymph node, no patient had positive node in TCCUB. Mean time required for LPLND for all 12 cases was 188 min. The average number of lymph nodes removed was 12.6 in 11 cases except one for biopsy, One case had prolonged lymph drainage to 44 days. Complication was minimal. The duration to resume activity was 3 to 5 days. Residual lymph nodes found at radical operation was 7.2%(9 in 125 nodes). The first TCCUB case was convered from LPLND to open surgery and subsequent raddical PLND to open surgery was a safe procedure, and was sufficient for staging of CaP or TCCUB.

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