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首页 > 医学词汇大全 > lymph node dissection
lymph node dissection

肿瘤

关键词肿瘤 治疗方法 头颈癌手术治疗

词汇介绍

拓展阅读

解析

Lymph   英 /lɪmf/   美 /lɪmf/

       n. [解剖] 淋巴,淋巴液;血清

       B-cells and Humoral immunity: The B-cells produce specific antibodies in the lymphoid tissues that circulate in the lymph and blood to reach the site of an attack. B细胞和体液免疫:B-细胞可以在淋巴组织内产生特定的抗体,这些抗体可以在淋巴和血液循环中到达被病菌攻击的部位。

 

Node   英 /nəʊd/   美 /nod/

       n. 节点;瘤;[数] 叉点

同根词   nodal adj. 节的;结的;节似的

       They have to have unique names and should not be currently defined on any node. 它们必须具有惟一的名字,且当前未在任何节点上进行了定义。

 

Dissection   英 /dɪ'sekʃn/   美 /dɪ'sɛkʃən/

       n. 解剖,切开;解剖体;详细查究;复数 dissections

同根词   dissected adj. 切开的,分开的;多裂的;dissected v. 解剖;仔细检查(dissect的过去分词);dissect vi. 进行解剖;进行详细分析;dissect vt. 切细;仔细分析

       Of the 1500 eligible patients, 676 patients who underwent lateral lymph node dissection were analyzed, including 137 patients who were treated laparoscopically and 539 patients who were treated with open surgery. 在1500例符合条件的患者中,对676例进行侧方淋巴结清扫的患者进行分析,其中137例采用腹腔镜手术,539例采用开放手术。

概述

还可以使用这个单词lymphadenectomy表示淋巴结清扫术,或淋巴结切除术,是指中为分析淋巴结而进行的外科手术。在手术过程当中切除整块淋巴结病变部位,包括了淋巴周围的一些像是脂肪、神经、血管等物质。切下的淋巴结将被检查癌症和其他疾病。这通常是作为癌症治疗的一部分,以确定所涉及的癌症的严重程度。淋巴系统可以被癌细胞用来扩散到身体的其他部位。切除淋巴结可以阻止癌症在乳腺癌、睾丸癌和前列腺癌患者中的扩散。其他对淋巴结清扫反应良好的癌症包括肺癌、膀胱癌和结肠癌。淋巴结清扫可以切除该区域的全部或

Adverse Surgical Outcomes Associated with Robotic Retroperitoneal Lymph Node Dissection Among Patients with Testicular Cancer复制标题

机器人腹膜后淋巴结清扫术对睾丸癌患者手术效果的影响

发表时间:2019-06-04

影响因子:17.3

作者: Adam C. Calaway

期刊:Eur. Urol.

Surgery for metastatic testicular disease has been an essential factor in the long-term cure rates for men with testicular germ cell tumors. Robotic approaches to retroperitoneal lymph node dissection (R-RPLND) have been proposed as an alternative to open surgery with few if any adverse events reported. We report the clinical course for five recent patients referred to our center for recurrences after R-RPLND, focusing on recurrence patterns, treatment burden, and treatment-related morbidity and mortality. The median time to recurrence after R-RPLND was 259d. The recurrence patterns after R-RPLND were aberrant from our past experience in managing recurrences after open RPLND. One man experienced an in-field recurrence located in close proximitry to an undivided lumbar vessel. Four patients had out-of-field recurrence in abnormal locations: pericolic space invading the sigmoid colon, peritoneal carcinomatosis with a perinephric mass, large-volume liver lesions with suprahilar disease extending into the retrocrural space, and lymph nodes in the celiac axis. The treatment burden was high: the five men were subjected to 12 different chemotherapy regimens and three underwent additional surgeries. Three patients developed significant cisplatin-induced toxicity. One patient died due to progression of testicular cancer after failing all chemotherapy and surgical options.

译文

转移性睾丸疾病的手术一直是睾丸生殖细胞肿瘤患者长期治愈率的重要因素。已经提出将腹膜后淋巴结清扫术(R-RPLND)的机器人方法作为开放手术的替代方案,几乎没有报道任何不良事件。我们报告了最近五名患者的临床病程,这些患者被转诊到我们的R-RPLND后复发中心,重点是复发模式,治疗负担以及治疗相关的发病率和死亡率。 R-RPLND后复发的中位时间为259d。 R-RPLND后的复发模式与我们过去在开放RPLND后控制复发的经验异常。一名男子经历了现场复发,位于与未分开的腰部血管紧密接近的位置。 4例患者在异常部位出现异地复发:乙状结肠侵犯周围空间,伴有肾周围肿块的腹膜癌病变,大量肝脏病变伴有上肺部疾病延伸至逆行空间,腹腔内有淋巴结。治疗负担很高:五名男性接受了12种不同的化疗方案,另外三名接受了额外的手术。 3名患者出现了明显的顺铂诱导的毒性。一名患者在所有化疗和手术选择失败后因睾丸癌的进展而死亡。