A modified suspension technique for better exposure of the retroperitoneal space during laparoscopic lymphadenectomy

Surgical technique and instrumentation of laparoscopic lymphadenectomy continue to undergo improvements. A major concern, however, is whether or not the retroperitoneum is adequately exposed. We developed a technique using straight needles to suspend the round ligament and posterior peritoneum. It gives good exposure with little injury to surrounding tissues. The procedure is easy to perform and requires only 3 to 5 minutes, making laparoscopic lymphadenectomy easier.