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Laparoscopic Pelvic Lymph Node Dissection: A Review of 103 Consecutive Cases

1994; Lippincott Williams & Wilkins; Volume: 151; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(17)35044-9

1527-3792

Daniel B. Rukstalis, Glenn S. Gerber, Nicholas J. Vogelzang, Daniel J. Haraf, Francis H. Straus, Gerald W. Chodak,

Urological Disorders and Treatments

No AccessJournal of Urology1 Mar 1994Laparoscopic Pelvic Lymph Node Dissection: A Review of 103 Consecutive Casesis companion ofRe: Laparoscopic Pelvic Lymph Node Dissection: A Review of 103 Consecutive Cases by D. B. Rukstalis, G. S. Gerber, N. J. Vogelzang, D. J. Haraf F. H. Strauss, II and G. W. Chodak J. Urol., 151: 670-674, 1994Reply by Authors Daniel B. Rukstalis, Glenn S. Gerber, Nicholas J. Vogelzang, Daniel J. Haraf, Francis H. Straus, and Gerald W. Chodak Daniel B. RukstalisDaniel B. Rukstalis , Glenn S. GerberGlenn S. Gerber , Nicholas J. VogelzangNicholas J. Vogelzang , Daniel J. HarafDaniel J. Haraf , Francis H. StrausFrancis H. Straus , and Gerald W. ChodakGerald W. Chodak View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35044-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Laparoscopic pelvic lymph node dissection is a recently introduced technique for the surgical evaluation of the regional pelvic lymph nodes in genitourinary malignancies. We report the results of a laparoscopic pelvic lymph node dissection performed on 103 consecutive patients for staging of clinically localized prostatic, bladder and penile carcinomas. In 20 patients (group 1) the adequacy of the laparoscopic pelvic lymph node dissection was evaluated with a subsequent open dissection. In this group 87 to 95% of the lymph nodes within a modified template could be reliably removed laparoscopically. In 73 patients (group 2) laparoscopic pelvic lymph node dissection was performed as a solitary operation. Mean hospitalization was 1.6 ± 2.4 days, while postoperative narcotic requirements were minimal. Mean operative time for bilateral laparoscopic pelvic lymph node dissection was 156 ± 41.2 minutes. The overall complication rate in these 2 groups was 13.5%. Group 3 includes 10 patients (9.7% of the total) in whom laparoscopic pelvic lymph node dissection was unsuccessful. The minimally invasive surgical techniques of laparoscopic pelvic lymph node dissection seem to provide adequate staging accuracy in patients with genitourinary neoplasms. The complication rate and recovery period appear to be decreased relative to those for open surgical lymphadenectomy. © 1994 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byMENG M and CARROLL P (2018) WHEN IS PELVIC LYMPH NODE DISSECTION NECESSARY BEFORE RADICAL PROSTATECTOMY? A DECISION ANALYSISJournal of Urology, VOL. 164, NO. 4, (1235-1240), Online publication date: 1-Oct-2000.Raboy A, Adler H and Albert P (2018) EXTRAPERITONEAL ENDOSCOPIC PELVIC LYMPH NODE DISSECTION A REVIEW OF 125 PATIENTSJournal of Urology, VOL. 158, NO. 6, (2202-2205), Online publication date: 1-Dec-1997.Herrell D, Trachtenberg J and Theodorescu D (2018) Staging Pelvic Lymphadenectomy for Localized Carcinoma of the Prostate: A Comparison of 3 Surgical TechniquesJournal of Urology, VOL. 157, NO. 4, (1337-1339), Online publication date: 1-Apr-1997.Parra R, Perez M, Boullier J and Cummings J (2018) Comparison Between Standard Flank Versus Laparoscopic Nephrectomy for Benign Renal DiseaseJournal of Urology, VOL. 153, NO. 4, (1171-1174), Online publication date: 1-Apr-1995.Stone N, Stock R and Unger P (2018) Indications for Seminal Vesicle Biopsy and Laparoscopic Pelvic Lymph Node Dissection in Men With Localized Carcinoma of ProstateJournal of Urology, VOL. 154, NO. 4, (1392-1396), Online publication date: 1-Oct-1995.Gill I, Clayman R and McDougall E (2018) Advances in Urological LaparoscopyJournal of Urology, VOL. 154, NO. 4, (1275-1294), Online publication date: 1-Oct-1995.Related articlesJournal of Urology13 Nov 2018Re: Laparoscopic Pelvic Lymph Node Dissection: A Review of 103 Consecutive Cases by D. B. Rukstalis, G. S. Gerber, N. J. Vogelzang, D. J. Haraf F. H. Strauss, II and G. W. Chodak J. Urol., 151: 670-674, 1994Journal of Urology13 Nov 2018Reply by Authors Volume 151Issue 3March 1994Page: 670-674 Advertisement Copyright & Permissions© 1994 by The American Urological Association Education and Research, Inc.Keywordsbladder neoplasmsperitoneoscopypenile neoplasmslymph node excisionprostatic neoplasmsMetricsAuthor Information Daniel B. Rukstalis More articles by this author Glenn S. Gerber More articles by this author Nicholas J. Vogelzang More articles by this author Daniel J. Haraf More articles by this author Francis H. Straus More articles by this author Gerald W. Chodak More articles by this author Expand All Advertisement PDF downloadLoading ...