Laparoscopic pelvic lymph node dissection (PLND) is the most commonly performed laparoscopic procedure in urology today. Indications for laparoscopic PLND are being refined to selectively identify patients who are at high risk for lymphatic metastases. From a technical standpoint, the anatomic detai
Laparoscopic staging pelvic lymphadenectomy: Extraperitoneal approach
โ Scribed by Sakti Das
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 827 KB
- Volume
- 12
- Category
- Article
- ISSN
- 8756-0437
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โฆ Synopsis
Comparative studies have proven the feasibility as well as reduced morbidity of endoscopic pelvic lymph node dissection when compared to open pelvic lymphadenectomy. Transperitoneal laparoscopic pelvic lymphadenectomy. however, has been associated with complications related to transperitoneal access and intraperitoneal dissection. We, therefore, developed the extraperitoneal laparoscopic staging pelvis lymph node dissection which combines the anatomic principles of open pelvic lymphadenectomy with the minimally invasive endoscopic technique. Exploration of the area of our endoscopic lymphadenectomy during radical retropubic prostatectomy proved the feasibility of our dissection. In patients selected for laparoscopic lymphadenectomy, we now prefer the extraperitoneal approach. @ 1996 WiIey-Liss, Inc.
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