Abstract：Objective To explore the clinical effect of subcutaneous access to laparoscopic inguinal lymph node dissection in the treatment of patient with vulvar cancer.Methods A total of 36 patients with vulvar cancer admitted to the First Affiliated Hospital of Gannan Medical College from October 2017 to May 2020 were selected and divided into the study group and the control group according to the random number table method,with 18 patients in each group.The control group was treated with open lymph node dissection,while the study group was treated with subcutaneous access to laparoscopic inguinal lymph node dissection.The short-term efficacy,hospitalization,surgical results and complications of the patients were observed and compared.Results The short-term efficacy of the study group was higher than that of the control group,and the difference was statistically significant (P＜0.05).The total treatment time and postoperative hospital stay in the study group were shorter than those in the control group,and the differences were statistically significant (P＜0.05).The intraoperative blood loss of the study group was less than that of the control group,and the difference was statistically significant (P＜0.05).The postoperative drainage tube placement time of the study group was shorter than that of the control group,and the difference was statistically significant (P＜0.05).There were no significant difference in operation time and the number of left and right lymph nodes between the two groups (P＞0.05).The number of complications in the study group was less than that in the control group,with statistically significant difference (P＜0.05).Conclusion The application of subcutaneous access to laparoscopic inguinal lymph node dissection in the treatment of vulvar cancer can significantly improve the short-term clinical effect,and at the same time,greatly shorten the duration of treatment and hospitalization,and promote the clinical rehabilitation of patients.In addition,it can effectively improve the outcome of surgical treatment.Because of its small incision,the incidence of clinical complications has been continuously reduced,and it has high safety,which is worthy of promotion.
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