Laparoscopic Pelvic Lymphadenectomy

  • T. J. Polascik
  • R. G. Moore
  • L. R. Kavoussi

Abstract

Limitations of noninvasive modalities have mandated histologic evaluation of lymph nodes in patients with pelvic urologic malignancies in whom accurate pathologic staging is needed. Pelvic lymphadenectomy is the most effective technique for evaluating metastatic spread to regional lymph nodes in prostate, bladder, and urethral carcinomas. Laparoscopic pelvic lymph node dissection (LPLND) has emerged as a minimally invasive technique that diminishes the morbidity associated with the traditional open pelvic lymphadenectomy. The laparoscopic approach to pelvic lymph node dissection was first performed by Schuessler and associates in 1989. Since their report this technique has been recognized as a safe and effective method for staging genitourinary pelvic malignancies.

Keywords

Catheter Dioxide Rubber Adduct Oncol 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ferzli G, Raboy A, Kleinerman D, Albert P (1992) Extraperitoneal endoscopic pelvic lymph node dissection vs laparoscopic lymph node dissection in the staging of prostatic and bladder carcinoma. J Laparoendosc Surg 2(5):219–222PubMedCrossRefGoogle Scholar
  2. Kavoussi LR, Sosa E, Chandhoke P, Chodak G, Clayman RV, Hadley HR, Loughlin KR, Ruckle HC, Rukstalis D, Schuessler W, Segura J, Vancaille T, Winfield HN (1993) Complications of laparoscopic pelvic lymph node dissection. J Urol 149:322–325PubMedGoogle Scholar
  3. Moore RG, Kavoussi LR (1993) Laparoscopic lymphadenecto-my in genitourinary malignancies. Surg Oncol 2(l):51–66PubMedCrossRefGoogle Scholar
  4. Prout GR jr, Shipley WU, Kaufman DS, Griffin PP, Heney NM (1991) Interval report of a phase I–II study utilizing multiple modalities in the treatment of invasive bladder cancer. A bladder-sparing trial. Urol Clin North Am 18:547–554PubMedGoogle Scholar
  5. Schuessler WW, Vancaille TG, Reich H, Griffith DP (1991) Transperitoneal endosurgical lymphadenectomy in patients with localized prostate cancer. J Urol 145:988–991PubMedGoogle Scholar
  6. Winfield HN, See WA, Donovan JF, Godet A, Farage YM, Loening SA, Williams RD (1992) Comparative effectiveness and safety of laparoscopic vs open pelvic lymph node dissection for cancer of the prostate (abstract). J Urol 147:244AGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • T. J. Polascik
  • R. G. Moore
  • L. R. Kavoussi

There are no affiliations available

Personalised recommendations