Related Experiment Video
Updated: Aug 5, 2026
12:45
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Laparoscopic pelvic and paraaortic lymph node dissection: analysis of the first 100 cases
D R Scribner1, J L Walker, G A Johnson
1Department of Gynecologic Oncology, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma 73190, USA. d.scribner@etwc.net
Gynecologic Oncology
|August 25, 2001
Summary
Laparoscopic pelvic and paraaortic lymph node dissection (LND) is feasible for gynecologic cancers, with a 70.9% completion rate. This minimally invasive approach offers a shorter hospital stay and acceptable complications compared to open surgery.
Area of Science:
- Gynecologic Oncology
- Minimally Invasive Surgery
- Surgical Staging
Background:
- Pelvic and paraaortic lymph node dissection (LND) is crucial for staging gynecologic cancers.
- Laparoscopic LND offers potential benefits over traditional laparotomy.
- Evaluating the feasibility and outcomes of early laparoscopic LND cases is important.
Purpose of the Study:
- To analyze the first 100 planned laparoscopic pelvic and paraaortic lymph node dissections (LND) for gynecologic cancer staging.
- To assess factors influencing conversion to laparotomy.
- To document complications associated with laparoscopic LND.
Main Methods:
- Retrospective review of 103 patients undergoing planned laparoscopic bilateral pelvic and paraaortic LND.
- Data collection included demographics, cancer stage, histology, operative details, and complications.
- Statistical analysis used Student t tests, ANOVA, and chi-squared testing.
Main Results:
- Laparoscopic LND was completed in 70.9% of cases.
- Shorter hospital stays were observed for laparoscopic cases compared to conversions (2.8 vs. 5.6 days).
- Higher completion rates were seen in patients with a Quetelet index < 35 and when assisted by a gynecologic oncologist.
Conclusions:
- Laparoscopic bilateral pelvic and paraaortic LND is a successful procedure in 70.9% of patients.
- Age, obesity, prior surgery, and community setting are not contraindications.
- Advantages include shorter hospital stays, comparable nodal yield, and acceptable complication rates.
