surgoncoКреативная хирургия и онкологияCreative surgery and oncology2076-30932307-0501Башкирский государственный медицинский университет10.24060/2076-3093-2025-15-1-41-49surgonco-1051Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSВидеоэндоскопическая пахово-бедренная лимфаденэктомия при раке вульвы. Обзор литературыVideoendoscopic Inguinofemoral Lymphadenectomy for Vulvar Cancer. Literature Reviewhttps://orcid.org/0000-0003-3734-2779МеньшиковК. В.MenshikovK. V.

Меньшиков Константин Викторович — к.м.н., доцент, кафедра онкологии и клинической морфологии, отдел химиотерапии

Республика Башкортостан, Уфа 

Konstantin V. Menshikov —  Cand. Sci. (Med.), Assoc. Prof., Department of Oncology and Clinical Morphology, Chemotherapy Unit

Ufa

kmenshikov80@bk.ruhttps://orcid.org/0009-0006-1290-8843КиямовБ. Ф.KiyamovB. F.

Киямов Булат Фаритович — отделение онкогинекологии

Республика Башкортостан, Уфа 

Bulat F. Kiyamov — Oncogynecology Unit

Ufa

https://orcid.org/0009-0006-9812-4360ГирфановТ. К.GirfanovТ. К.

Гирфанов Тимур Камилевич — отделение онкогинекологии

Республика Башкортостан, Уфа 

Тimur К. Girfanov — Oncogynecology Unit

Ufa

Башкирский государственный медицинский университет; Республиканский клинический онкологический диспансерРоссияBashkir State Medical University; Republican Clinical Oncology DispensaryRussian FederationРеспубликанский клинический онкологический диспансерРоссияRepublican Clinical Oncology DispensaryRussian Federation2025010420251514149Copyright © Меньшиков К.В., Киямов Б.Ф., Гирфанов Т.К., 20252025Меньшиков К.В., Киямов Б.Ф., Гирфанов Т.К.Menshikov K.V., Kiyamov B.F., Girfanov Т.К.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surgonco.ru/jour/article/view/1051

Рак вульвы является одним из редких злокачественных новообразований в онкогинекологии. Рак вульвы занимает девятнадцатое место среди наиболее распространенных видов злокачественных новообразований у европейских женщин. Основным методом лечения локализованного рака вульвы является хирургический. Начиная со стадии по критерию Т Ib и латеральном расположении опухоли пациенткам показано хирургическое лечение в объеме вульвэктомии, пахово-бедренной лимфаденэктомии. Классическая операция по методу Дюкена (J. Ducuing) разработана в 1934 году и сопровождается в большинстве случаев осложнениями в послеоперационном периоде, такими как лимфорея, длительное заживление послеоперационных ран, гнойно-септические осложнения. Одним из способов сократить количество осложнений является использование видеоэндоскопических технологий. В приведенном обзоре исследований, посвященных данной теме, продемонстрированы результаты использования видеоэндоскопической техники. Показано значительное снижение количества осложнений в послеоперационном периоде. Также следует отметить, что время операции сокращается с наработкой опыта выполнения подобных вмешательств. Необходимо проведение рандомизированных исследований для оценки отдаленных результатов при использовании видеоэндоскопических технологий при выполнении пахово-бедренной лимфаденэктомии.

Vulvar cancer is one of the rare malignant neoplasms treated in gynecologic oncology. This type of cancer ranks nineteenth among the most common types of malignant neoplasms in European women. The main method for treating localized vulvar cancer is surgery. Starting from the stage TIb and with the lateral location of the tumor, surgical treatment is indicated (vulvectomy and inguinofemoral lymphadenectomy). The classical Ducuing surgical procedure, which was developed in 1934, is accompanied, in most cases, by such postoperative complications as lymphorrhea, delayed healing of surgical wounds, and suppurative septic complications. One way to minimize them is to use videoendoscopic technologies. The provided review of studies on the subject presents the results of using videoendoscopic technologies (e.g., a significant reduction in the number of postoperative complications). Noteworthy is that the operative time decreases with experience in performing such interventions. Randomized studies are needed to evaluate the long-term results when using videoendoscopic technologies to perform an inguinofemoral lymphadenectomy.

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The authors declare that there are no conflicts of interest present.