1,742 results match your criteria Laparoscopic Pelvic Lymph Node Dissection


Comparison of clinical efficacy and safety of transvaginal natural endoscopic surgery and transumbilical single port laparoscopy surgery for endometrial cancer.

Am J Transl Res 2022 15;14(4):2647-2654. Epub 2022 Apr 15.

Department of Gynecology, Fuzhou Second Hospital, Fuzhou Second Hospital of Xiamen University, School of Medicine, Xiamen University China.

Objective: To explore the difference in clinical efficacy and safety of transvaginal and transumbilical single port laparoscopy for endometrial cancer.

Methods: We retrospectively included 100 endometrial cancer patients who were admitted to the Fuzhou Second Hospital for surgical treatment from September 2020 to September 2021 and divided them into two groups according to different surgical treatment options. Patients in Group A (48 cases) were treated with transvaginal natural endoscopic surgery (TNES), and those in Group B (52 cases) were with transumbilical single port laparoscopic surgery (TSPLS). Read More

View Article and Full-Text PDF

An extremely rare disconnection of the external iliac artery and novel collateral remodeling in an endometrial stromal sarcoma woman.

BMC Womens Health 2022 May 11;22(1):160. Epub 2022 May 11.

Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, People's Republic of China.

Background: Injury to the external iliac artery can have serious consequences and can be extremely challenging for surgeons. Here, we report a patient with bizarre disconnection of the external iliac artery during a laparoscopic operation.

Case Presentation: On May 27, 2020, during a laparoscopic pelvic lymphadenectomy operation to treat endometrial stromal sarcoma, we encountered an unusual anatomy: abnormal disconnection of the left external iliac artery in a 26-year-old female patient. Read More

View Article and Full-Text PDF

Surgical Outcomes of Laparoscopic Pelvic Lymph Node Debulking during Staging Aortic Lymphadenectomy in Locally Advanced Cervical Cancer: A Multicenter Study.

Cancers (Basel) 2022 Apr 13;14(8). Epub 2022 Apr 13.

Service of Gynecology Oncology, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.

Background: Few studies have evaluated laparoscopic pelvic lymph node (PLN) debulking during staging aortic lymphadenectomy in locally advanced cervical cancer (LACC). It allows us to know the lymph node status and facilitates the action of chemoradiotherapy (CRT) by reducing tumor burden. We evaluated its feasibility and compared the perioperative morbidity and the time to CRT with a control group. Read More

View Article and Full-Text PDF

Tc-PSMA targeted robot-assisted radioguided surgery during radical prostatectomy and extended lymph node dissection of prostate cancer patients.

Ann Nucl Med 2022 Apr 15. Epub 2022 Apr 15.

Health Sciences University, Istanbul Research and Training Hospital, Clinic of Nuclear Medicine, Istanbul, Turkey.

Objective: The feasibility of tracer production of technetium (Tc)-prostate-specific membrane antigen (PSMA)-I&S sterile cold kit, imaging with single photon emission tomography/computed tomography (SPECT/CT), and Tc-PSMA-radioguided robot-assisted laparoscopic radical prostatectomy (Tc-PSMA-RG-RALRP) technique for lymph node (LN) dissection of primary prostate cancer (PCa) patients were evaluated prospectively.

Methods: Fifteen primary PCa patients with intermediate- or high-risk score according to D'Amico risk stratification who had PSMA receptor affinity with Ga-68 PSMA-11 PET/CT were enrolled. After Tc-PSMA-I&S injection and SPECT/CT imaging, Tc-PSMA-RG-RALRP with DaVinci XI robotic platform and laparoscopic gamma probe were performed. Read More

View Article and Full-Text PDF

Establishment and validation of a nomogram for predicting potential lateral pelvic lymph node metastasis in low rectal cancer.

Int J Clin Oncol 2022 Apr 12. Epub 2022 Apr 12.

Department of Surgery, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.

Background: Identifying lateral pelvic lymph node (LPN) metastasis in low rectal cancer is crucial before treatment. Several risk factors and prediction models for LPN metastasis have been reported. However, there is no useful tool to accurately predict LPN metastasis. Read More

View Article and Full-Text PDF

Interest of para-aortic lymphadenectomy for locally advanced cervical cancer in the era of PET scanning.

Eur J Obstet Gynecol Reprod Biol 2022 May 31;272:234-239. Epub 2022 Mar 31.

Department of Gynaecological and Breast Surgery, Montpellier University Hospital, Montpellier, France. Electronic address:

Background And Objectives: Treatment of locally advanced cervical cancer (LACC) involves pelvic chemoradiotherapy, using an extended field in the case of para-aortic involvement. 18-Fluoro-D-glucose positron emission tomography combined with computer tomography (PET-CT) is an accurate method for the detection of metastatic nodes. The objective of this study was to evaluate the performance of PET-CT for lymph node staging of LACC. Read More

View Article and Full-Text PDF

Vaginal natural orifice transvaginal endoscopic surgery (vNOTES) surgical staging for endometrial carcinoma: The feasibility of an innovative approach.

Taiwan J Obstet Gynecol 2022 Mar;61(2):345-352

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou and University, Tao-Yuan, Taiwan.

Objective: This study aims to describe the feasibility of treating early-stage endometrial cancer with hysterectomy, bilateral salpingo-oophorectomy, sentinel lymph node biopsy, and bilateral pelvic lymphadenectomy by vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES).

Materials And Methods: A longitudinal study of prospectively registered patients was conducted at an academic tertiary care center. 15 patients who underwent vNOTES surgical staging of early endometrial carcinoma between January 2014 and December 2020 were included in the study. Read More

View Article and Full-Text PDF

Left External Iliac Vein Injury During Laparoscopic Pelvic Lymphadenectomy for Early-Stage Ovarian Cancer: Our Experience and Review of Literature.

Front Surg 2022 9;9:843641. Epub 2022 Mar 9.

Department of Gynecology Oncology, "Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Giovanni Paolo II", Bari, Italy.

Laparoscopic surgical staging is the standard treatment of early-stage ovarian tumors with similar survival outcomes if compared with laparotomic procedures. In this article, we report a case regarding an incidental external iliac vein injury during a pelvic lymphadenectomy for fertility sparing treatment of early-stage ovarian cancer with a video showing the laparoscopic repair without any consequence or side effect. A 36 year-old obese woman with Body Mass Index 30 kg/m referred at our hospital with an histological diagnosis of high grade ovarian serous carcinoma after a left laparoscopic salpingo-oophorectomy performed in another hospital. Read More

View Article and Full-Text PDF

Near-infrared fluorescence imaging with intraoperative administration of indocyanine green for laparoscopic radical prostatectomy: Is it a useful weapon for pelvic lymph node dissection?

J Surg Case Rep 2022 Mar 24;2022(3):rjab614. Epub 2022 Mar 24.

Department of Urology, Umberto I Hospital, Nocera Inferiore, Salerno, Italy.

Near-infrared fluorescence imaging with indocyanine green has emerging applications in urologic surgery. This technology is strongly used in robotic surgery for several ablative and reconstructive procedures. On the contrary, it is not used at all in the urological laparoscopic surgery. Read More

View Article and Full-Text PDF

Robotic Versus Laparoscopic Surgery for Rectal Cancer: A Comprehensive Review of Oncological Outcomes.

Perm J 2021 Dec 14;25. Epub 2021 Dec 14.

Department of Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA.

The treatment of rectal cancer is complex and involves specialized multidisciplinary care, although the tenet is still rooted in a high-quality total mesorectal excision. The robotic platform is one of many tools in the arsenal to assist dissection in the low pelvis. This article is a comprehensive review of the oncological outcome comparing robotic vs laparoscopic rectal cancer resection, with a particular focus on total mesorectal excision. Read More

View Article and Full-Text PDF
December 2021

Lateral Pelvic Lymph Node Metastasectomy Via Laparoscopic Totally Extraperitoneal Approach.

Dis Colon Rectum 2022 06 3;65(6):e660. Epub 2022 May 3.

Division of Colon and Rectal Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.

View Article and Full-Text PDF

External validation of Pentafecta in patients undergoing laparoscopic radical cystectomy: results from a high-volume center.

BMC Urol 2022 Mar 21;22(1):41. Epub 2022 Mar 21.

Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, People's Republic of China.

Background: To investigate whether Pentafecta is suitable for bladder cancer patients receiving laparoscopic radical cystectomy (LRC).

Methods: From November 2013 to December 2020, muscle invasive Bladder Cancer (MIBC) and non-muscle invasive Bladder Cancer (NMIBC) patients who received LRC and urinary diversion were retrospectively analyzed. Pentafecta was defined as meeting five criteria: negative soft margin, ≥ 16 lymph nodes (LNs) removed, major complications free, urinary diversion related sequelae free and clinical recurrence free within 1 year. Read More

View Article and Full-Text PDF

Robot-assisted laparoscopic abdominoperineal resection with en bloc prostatectomy using the Retzius-sparing robot-assisted radical prostatectomy technique.

Asian J Endosc Surg 2022 Mar 16. Epub 2022 Mar 16.

Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Introduction: The best surgical technique for rectal cancer invading the prostate remains controversial. Rectal resection with en bloc prostatectomy using a standard retropubic approach is an option but has disadvantages. We report a new surgical procedure applying Retzius-sparing robot-assisted radical prostatectomy. Read More

View Article and Full-Text PDF

Combined laparoscopic lymphoadenectomy of lateral pelvic and inguinal nodal metastases using indocyanine green fluorescence imaging guidance in low rectal cancer after preoperative chemoradiotherapy: a case report.

BMC Gastroenterol 2022 Mar 16;22(1):123. Epub 2022 Mar 16.

Department of Colorectal Surgery and General Surgery, Fujian Medical University, Union Hospital, 29 Xinquan Road, Fuzhou, 350001, Fujian, People's Republic of China.

Background: Intraoperative near-infrared fluorescence (NIR) imaging with indocyanine green (ICG) can demonstrate real-time lymphatic drainage and thus improve the accuracy and completeness of lymphadenectomy in colorectal cancer surgery. However, it has not been utilized in the inguinal lymphadenectomy in rectal cancer. This study aimed to describe a case of combined laparoscopic lymphadenectomy of left lateral pelvic and inguinal nodal metastases using NIR imaging with ICG imaging guidance for a rectal cancer patient with left lateral pelvic and inguinal lymph node metastases. Read More

View Article and Full-Text PDF

Pelvic and inguinal single-site approach: PISA technique. New minimally invasive technique for lymph node dissection in penile cancer.

Actas Urol Esp (Engl Ed) 2022 04 7;46(3):150-158. Epub 2022 Mar 7.

Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Objectives: To describe our initial experience with a new minimally invasive inguinal and pelvic single-access laparoscopic approach, for performing lymph node dissection (LND) in penile cancer: the Pelvic and Inguinal Single Access (PISA) technique.

Material And Methods: 10 patients with different penile squamous cell carcinoma stages (cN0 and ≥pT1G3 or cN1/cN2) were operated by means of the PISA technique, between 2015-2018. Intraoperative frozen section analysis was carried out routinely and if ≥2 inguinal nodes (pN2) or extracapsular nodal extension (pN3) are detected, ipsilateral pelvic LND was performed sequentially as a single-stage procedure and using the same surgical incisions. Read More

View Article and Full-Text PDF

Laparoscopic pelvic lymph node dissection in cadaver surgical training from the combined perspectives of urologists, gastroenterologists and gynecologists improves overall knowledge and technique: initial experience of multidisciplinary cadaver surgical training at a single institution in Japan.

Anat Sci Int 2022 Mar 8. Epub 2022 Mar 8.

Division of Urology, Department of Surgery, Faculty of Medicine, Tottori University, 86 Nishi-cho, Yonago, 683-8503, Japan.

Surgeons in Japan have recently become more familiar with cadaver surgical training (CST). Extended pelvic lymph node dissection (PLND) considering the vesicohypogastric fascia and ureterohypogastric nerve fascia is gradually being performed not only in urology, but also in gynecology and gastroenterology. We performed CST using a 76-year-old female cadaver who was fixed by the Thiel method, with the aim of confirming the differences in the extent of PLND performed by certified laparoscopic specialists in urology, gastroenterology and gynecology. Read More

View Article and Full-Text PDF

Our initial experience with the three layers with three-port approach for laparoscopic radical cystectomy.

Wideochir Inne Tech Maloinwazyjne 2022 Mar 22;17(1):207-213. Epub 2021 Apr 22.

Department of Urology, The Second Hospital of Anhui Medical University, Hefei, China.

Introduction: Radical cystectomy (RC) remains the gold standard for the treatment of recurrent high-risk non-muscle-infiltrating bladder cancer (BC) and muscle-infiltrating BC. Currently, there is no uniform standardized procedure for laparoscopic radical cystectomy (LRC).

Aim: To share our initial experience with the three layers with three-port approach for laparoscopic radical cystectomy (TLTPA-LRC) and to investigate its safety and effectiveness. Read More

View Article and Full-Text PDF

A small, low-grade rectal neuroendocrine tumor with lateral pelvic lymph node metastasis: a case report.

Ann Coloproctol 2022 Mar 7. Epub 2022 Mar 7.

Department of Colorectal Surgery, Daegu Catholic University Medical Center, Daegu Catholic University School of Medicine, Daegu, Korea.

Rectal neuroendocrine tumors (NETs) are typically small lesions that are confined to the submucosa and have favorable behavior at the time of diagnosis. Local endoscopic or surgical resection is recommended because lymph node metastasis is very rare. In this report, we present the case of a 36-year-old male presenting with an incidentally found rectal mass during screening colonoscopy. Read More

View Article and Full-Text PDF

Laparoscopic Extraperitoneal Approach for Lateral Pelvic Node Dissection in Rectal Cancer: Techniques and Short-Term Outcomes.

Surg Innov 2022 Mar 1:15533506221076193. Epub 2022 Mar 1.

Division of Colon and Rectal Surgery, Department of Surgery, Korea University College of Medicine, 37997Korea University Anam Hospital, Seoul, Korea.

Background: Lateral pelvic lymph node dissection has been performed selectively in rectal cancer cases; however, it involves highly skilled techniques because of the complex adjacent anatomical structures.

Materials And Methods: Laparoscopic EP-LPND was performed in Korea University Anam Hospital from June 2018, and short-term surgical outcomes were analyzed from June to December 2018. Among the patients with histologically diagnosed rectal adenocarcinoma, patients who were suspected Lateral pelvic lymph node metastasis at magnetic resonance imaging were selected for this procedure

Results: Seven patients underwent laparoscopic extraperitoneal approach for lateral pelvic lymph node dissection in the study period. Read More

View Article and Full-Text PDF

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer.

J Vis Exp 2022 02 12(180). Epub 2022 Feb 12.

Department of General Surgery, The First Affiliated Hospital of Xian Jiaotong University; Center for Gut Microbiome Research, Med-X Institute, The First Affiliated Hospital of Xian Jiao tong University; Department of High Talent, The First Affiliated Hospital of Xian Jiaotong University;

Since their approval for clinical use, da Vinci surgical robots have shown great advantages in gastrointestinal surgical operations, especially in complex procedures. The high-quality 3-D visual, multijoint arm and natural tremor filtration allow the surgeon to expose and dissect more accurately with minimal invasion. Total mesorectal excision is the standard surgical technique for the treatment of resectable rectal cancer. Read More

View Article and Full-Text PDF
February 2022

Evaluation of the SYNAPSE VINCENT for lateral lymph node dissection in rectal cancer with robotic surgery: a preliminary report.

World J Surg Oncol 2022 Feb 27;20(1):56. Epub 2022 Feb 27.

Department of Gastroenterological Surgery, Gifu University Graduate School of Medicine, Gifu, 501-1194, Japan.

Background: Even if 3D angiographic images of preoperative contrast-enhanced computed tomography (CT) are created, the coronal and axial sections can be unclear, and thus, it is difficult to achieve projection awareness similar to that of actual laparoscopic images. In recent years, the technology of analyzing and applying medical images has advanced, and surgical simulation and navigation have been widely used to improve the safety of surgical operations. It is important to understand pelvic anatomy in the area of rectal cancer, and use of the SYNAPSE VINCENT makes it possible to simulate the anatomy before surgery, which is very useful in educating surgeons and their assistants. Read More

View Article and Full-Text PDF
February 2022

Fallopian tube tumour presenting as supraclavicular lymph node metastasis.

BMJ Case Rep 2022 Feb 24;15(2). Epub 2022 Feb 24.

Clínica de Ginecologia, Instituto Português de Oncologia do Porto Francisco Gentil EPE, Porto, Portugal.

A 72-year-old woman noted a lump in her left supraclavicular fossa with no other symptoms or other signs on physical exam. A cervical biopsy indicated metastatic carcinoma. On the diagnostic workup: thoracic-abdominal-pelvic CT revealed augmented lymph nodes (LNs) in the retroperitoneum; Positron Emission Tomography-CT showed uptake in the LNs described and in two small areas in the pelvis; blood tests showed elevated CA125 and CA72. Read More

View Article and Full-Text PDF
February 2022

Nerve Anatomy Around Lumbo-aortic Lymphadenectomy by Retroperitoneal Approach.

J Minim Invasive Gynecol 2022 05 10;29(5):588. Epub 2022 Feb 10.

Department of Obstetrics and Gynecology, Strasbourg University Hospital (all authors).

Study Objective: To describe the anatomy of the nerves during a laparoscopic retroperitoneal para-aortic lymphadenectomy with prioritization of their preservation.

Design: Demonstration of a nerve-preserving para-aortic lymphadenectomy.

Setting: A 65-year-old woman with no significant medical history underwent diagnostic laparoscopy for evaluation of a right ovarian mass. Read More

View Article and Full-Text PDF

Complications and their management following retroperitoneal lymph node dissection in conjunction with retroperitoneal laparoscopic radical nephroureterectomy.

Int J Urol 2022 05 10;29(5):455-461. Epub 2022 Feb 10.

Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan.

Objectives: To describe the detailed perioperative complications and their management after retroperitoneal lymph node dissection with retroperitoneal laparoscopic radical nephroureterectomy for patients with upper tract urothelial carcinoma at three institutions.

Methods: Retroperitoneal lymph node dissection was performed on patients with upper tract urothelial carcinoma located at the pelvis and/or upper or middle ureter, and its template included the renal hilar and para-aortic lymph nodes (left side) and the renal hilar, paracaval, retrocaval, and intra-aortocaval lymph nodes (right side). The lymph nodes and kidneys were removed en bloc. Read More

View Article and Full-Text PDF

Lower Incidence of Postoperative Urinary Retention in Robotic Total Mesorectal Excision for Low Rectal Cancer Compared with Laparoscopic Surgery.

Dig Surg 2022 Feb 7. Epub 2022 Feb 7.

Introduction: The incidence and clinical significance of postoperative urinary retention remain high. This study aimed to evaluate the incidence of postoperative urinary retention and related risk factors in patients who underwent total mesorectal excision for low rectal cancer.

Methods: This study is a retrospective review of a prospectively collected colorectal database from a single center. Read More

View Article and Full-Text PDF
February 2022

Postoperative lymphocyst formation after pelvic lymphadenectomy for gynecologic cancers: comparison between laparoscopy and laparotomy.

Int J Clin Oncol 2022 Mar 4;27(3):602-608. Epub 2022 Feb 4.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 565-0871 2-2, Yamadaoka, Suita City, Osaka, Japan.

Purpose: The goal of this study was to evaluate, using definitive diagnostic criteria, the incidence of lymphocyst formation following pelvic lymphadenectomy for gynecological cancer, and to compare rates between the approaches of laparoscopy and laparotomy.

Methods: We retrospectively reviewed the medical records of all patients who underwent pelvic lymphadenectomy for cervical or endometrial cancer between March of 2010 and March of 2016. We defined a lymphocyst as a circumscribed collection of fluid within the pelvic cavity, with a diameter of 2 cm or more, as diagnosed with ultrasound or computed tomography. Read More

View Article and Full-Text PDF

A hybrid technique of lap perineal pelvic lymphadenectomy after open radical perineal prostatectomy in localized carcinoma prostate: Our initial experience.

Turk J Urol 2021 Sep;47(5):386-391

Department of Urology and Renal Transplant, Atal Bihari Vajpayee Institute of Medical Sciences - Dr. Ram Manohar Lohia Hospital, New Delhi, India.

Objective: The major disadvantage of radical perineal prostatectomy (RPP) is the difficulty to perform pelvic lymphadenectomy via the same incision. Open retropubic, mini laparotomy, and transperitoneal laparoscopic pelvic lymphadenectomy as an adjunct to open RPP have been tried but need change in patient position and separate incision, thereby decreasing the acceptability of this procedure. Open RPP followed by a lap perineal pelvic lymphadenectomy via the same perineal incision is a hybrid technique that is aimed to decrease morbidity of lymphadenectomy. Read More

View Article and Full-Text PDF
September 2021

Management of Residual Disease After First-line Chemotherapy in a Patient With a Nonseminomatous Germ Cell Tumor.

Oncology (Williston Park) 2021 12 17;35(12):816-819. Epub 2021 Dec 17.

Hematology-Oncology Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.

The case An 18-year-old male presented with a one-month history of a nonpainful right testicular enlargement. He had no family history of neoplasia, nor any relevant past medical history. The physical examination was only remarkable for an enlarged right testicle. Read More

View Article and Full-Text PDF
December 2021

Laparoscopic posterior pelvic exenteration for clear cell adenocarcinoma arising in an episiotomy scar.

Asian J Endosc Surg 2022 Jan 27. Epub 2022 Jan 27.

Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Malignant degeneration of endometriosis is a very rare event, especially when it develops in an episiotomy scar. A 53-year-old woman with an enlarged perineal mass presented to the hospital. She had undergone vaginal delivery with episiotomy twice. Read More

View Article and Full-Text PDF
January 2022

"Two-zone and Three-segment" Laparoscopic Radical Cystectomy vs Conventional Laparoscopic Radical Cystectomy for Male Patients With Bladder Urothelial Carcinoma: A Retrospective Analysis.

Urol J 2022 Jan 25;19(1):34-40. Epub 2022 Jan 25.

Department of Urology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.

Purpose: The aim of this study was to introduce an advanced surgical technique for laparoscopic radical cystectomy (LRC), evaluate the perioperative outcome and compare it to that of conventional LRC (CLRC).

Materials And Methods: Between March 2018 and March 2020, sixty patients were divided into the "two-zone and three-segment" laparoscopic radical cystectomy (TTLRC) group or the CLRC group. Patient baseline characteristics, preoperative characteristics and postoperative complications were collected. Read More

View Article and Full-Text PDF
January 2022