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Revista mexicana de urologia Pub Date : 2015-09-01 DOI:10.1016/j.uromx.2015.06.006

V.E. Corona-Montes , E. Moyo-Martínez , L. Almazán-Treviño , V. Ríos-Dávila , Y. Santiago-Hernández , E.E. Mendoza-Rojas

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引用次数: 3

摘要

鳞状细胞癌是一种罕见的肿瘤，约占泌尿生殖系统肿瘤的2% ~ 5%。然而，由于我们医院是一个管理大量患者的转诊中心，每年大约有5-7例病例。腹股沟淋巴结清扫术是治疗这些病变的一种方法，并且作为一种微创手术越来越常见。目的探讨机器人辅助腹股沟淋巴结切除术治疗阴茎癌的手术技术。我们在此提出一个73岁男性的情况下，症状进展一年零6个月，在阴茎头的水平增加体积。活检后，他接受根治性阴茎切除术和会阴尿道造口术。组织病理学研究报告了侵袭海绵体和尿道的高分化疣状鳞状细胞癌(T3N0M0G1)。四周后，他接受了机器人辅助的腹股沟浅淋巴结和深淋巴结切除术。结论机器人辅助的腹股沟淋巴结切除术，除了成本高外，在专业中心进行是一种可行的技术，可以减少发病率、出血量和住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Linfadenectomía inguinal robot asistida (LIRA) para cáncer de pene

Introduction

Squamous cell carcinoma is a rare tumor, making up from 2 to 5% of the urogenital tumors. However, because our hospital is a referral center that manages large numbers of patients, approximately 5-7 cases are seen per year. Inguinal lymph node dissection is one of the treatments for these lesions and is being performed more frequently as a minimally invasive procedure.

Objective

Our aim was to describe the surgical technique for robotic-assisted inguinal lymphadenectomy in cancer of the penis. We present herein the case of a 73-year-old man with symptom progression of one year and 6 months and increased volume at the level of the glans penis. A biopsy was taken, after which he underwent radical penectomy with perineal urethrostomy. The histopathologic study reported well differentiated verrucous squamous cell carcinoma that invaded the corpus spongiosum and the urethra (T3N0M0G1). Four weeks later he underwent robotic-assisted inguinal lymphadenectomy of the superficial and deep lymph nodes.

Conclusions

Robotic-assisted inguinal lymphadenectomy, aside from its high cost, is a feasible technique when carried out in specialized centers that reduces morbidity, blood loss, and hospital stay.

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来源期刊

Revista mexicana de urologia Medicine-Urology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.