Abstract
Laparoscopic pelvic lymphadenectomy is a new less invasive procedure for prostatic and bladder tumour staging. The most important problem with this technique is staging error due to inadequate lymphadenectomy; in fact it is often difficult to entirely expose the obturator fossa. Twenty-one laparoscopic pelvic lymphadenectomies were performed and in the last 5 cases a new simple method was introduced to facilitate the exposure of obturator fossa. After peritoneum incision, two sutures of 2-0 Ti-Cron were placed by means of a laparoscope at peritoneal margins, near the ureteral crossing of the iliac vessels. These were then brought back through two 5 mm trocars placed bilaterally near McBurney's point. All obturator lymphnodes were easily visualized and removed, particularly those near the iliac vessels bifurcation.
Translated title of the contribution | Laparoscopic technique in staging accurate laparoscopic pelvic lymphadenectomy |
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Original language | Italian |
Pages (from-to) | 375-376 |
Number of pages | 2 |
Journal | Acta Urologica Italica |
Volume | 7 |
Issue number | SUPPL. 2 |
Publication status | Published - 1993 |
ASJC Scopus subject areas
- Urology