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19. Lymph Node Biopsy, Dissection, and Staging Laparoscopy

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Abstract

Surgical staging of lymphatics has to some extent been replaced by sophisticated imaging studies or endoluminal ultrasound. It remains, however, one of the most sensitive and specific methods of staging malignancies, and there are still indications for its use. In particular for staging of lymphomas where tissue is helpful and for GI malignancies when imaging is indeterminate, endoscopic staging is a helpful minimally invasive option. It remains an important part of Urologic cancer treatments such as for prostate cancer and particularly for testicular cancers. It is widely practiced for GYN malignancies as well, and the robot has widened the pool of gynecologists able to perform laparoscopic retroperitoneal node dissections.

In future, we may see a return in the popularity of minimally invasive node dissections particularly when combined with local resections or performed with even less invasive access methods.

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Authors and Affiliations

  1. Department of Surgery, Oregon Health Sciences University, Portland, OR, USA

    Lee L. Swanstrom M.D., F.A.C.S.

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  1. Lee L. Swanstrom M.D., F.A.C.S.
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Correspondence to Lee L. Swanstrom M.D., F.A.C.S. .

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Editors and Affiliations

  1. School of Medicine, Department of Surgery, Northwestern University Feinberg, Chicago, 60611, Illinois, USA

    Nathaniel J. Soper

  2. Clinics, Department of Surgery, University of Iowa Hospitals and, Iowa City, 52242, Iowa, USA

    Carol E.H. Scott-Conner

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Swanstrom, L.L. (2012). 19. Lymph Node Biopsy, Dissection, and Staging Laparoscopy. In: Soper, N., Scott-Conner, C. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2344-7_19

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  • DOI: https://doi.org/10.1007/978-1-4614-2344-7_19

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