开放腹股沟淋巴结清扫术是阴茎癌合并腹股沟淋巴结转移的标准术式,包括多种手术途径:腹股沟韧带上下方S型切口,腹股沟韧带下方平行斜切口或弧形切口等,但传统开放手术术后感染、皮瓣坏死、淋巴漏等并发症的发生率高达约50%。自2003年Bishoff等开展阴茎癌经双下肢皮下腹腔镜腹股沟淋巴结清扫术以来,腹腔镜以其微创性极大的避免了开放腹股沟淋巴结清扫术后高并发症的发生。我 Open inguinal lymphadenectomy is a standard operation for penile cancer with inguinal lymph node metastasis. It includes various surgical approaches: S-shaped incision of the inguinal ligament, parallel oblique incision or curved incision under the inguinal ligament, etc. However, the traditional open surgery infection , Flap necrosis, lymphatic leakage and other complications of up to about 50%. Since 2003, Bishoff et al carried out penile cancer by double-lower extremity subcutaneous laparoscopic inguinal lymphadenectomy since its minimally invasive laparoscopic avoidance of open complications of inguinal lymph node dissection. I