Laparoscopically guided bilateral pelvic lymphadenectomy

Alex Gershman M.D.; Dudley Danoff M.D.; Mudjianto Chandra M.D.; Warren S. Grundfest M.D.

doi:10.1117/12.43928

1 July 1991 Laparoscopically guided bilateral pelvic lymphadenectomy

Alex Gershman M.D., Dudley Danoff M.D., Mudjianto Chandra M.D., Warren S. Grundfest M.D.

Proceedings Volume 1421, Lasers in Urology, Laparoscopy, and General Surgery; (1991) https://doi.org/10.1117/12.43928
Event: Optics, Electro-Optics, and Laser Applications in Science and Engineering, 1991, Los Angeles, CA, United States

Abstract

Pelvic node dissection has gained widespread acceptance as the final staging procedure in patients with normal acid phospatase and bone scan free of metastatic disease prior to definitive therapy for cure. However, the procedure has had a high morbidity (20-34%) and a major economic impact on the patient due to lengthy hospitalization and recuperative time. The development of laparoscopic biopsy techniques suggests that the need for open surgical lymphadenectomy may be reduced by a laparoscopically performed lymphadenectomy. The goal of this report is to investigate the possibility of laparoscopic pelvic lymphadenectomy in an animal model. Our interest in laparoscopy is based on the ability of this technique to permit tissue removal without the need for major incisions. In laparoscopic cholecystectomy and laparoscopic appendectomy, the surgical procedure is essentially unaltered. The diseased organ is removed and there is no need for a large abdominal incision.

Citation Download Citation

Alex Gershman M.D., Dudley Danoff M.D., Mudjianto Chandra M.D., and Warren S. Grundfest M.D. "Laparoscopically guided bilateral pelvic lymphadenectomy", Proc. SPIE 1421, Lasers in Urology, Laparoscopy, and General Surgery, (1 July 1991); https://doi.org/10.1117/12.43928

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