LAPAROSCOPIC PELVIC LYMPHADENECTOMY - 11/09/11
Résumé |
Urology became involved with laparoscopic surgery relatively late compared with other surgical specialties. Although there have been isolated reports in the urologic literature of laparoscopic procedures, it was not until the initial report by Schueller et al10 describing their experience with laparoscopic pelvic lymph node dissection that laparoscopy became popular in the urologic field. Since that time urologists have expanded the applications of laparoscopy to include nephrectomy, adrenalectomy, and other urologic procedures; however, pelvic lymphadenectomy has remained the number one laparoscopic procedure performed today. Pelvic lymphadenectomy is performed laparoscopically primarily for carcinoma of the prostate, but it is also useful for patients with cancer of the bladder or penis. This article describes the procedure for application in these patients. The technique described is for dissection of obturator fossa lymph nodes. This is similar to the modified open pelvic lymphadenectomy procedure.1, 4 This dissection is performed transperitoneally, although Das and Tashima3 have described an extraperitoneal approach.
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| Address reprint requests to W. Bruce Shingleton, MD, Division of Urology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216 |
Vol 76 - N° 3
P. 585-593 - juin 1996 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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