Laparoscopic pelvic lymphadenectomy for prostatic adenocarcinoma

Endoscopic lymphadenectomy of the iliac and obturator nodes is feasible, and the morbidity to date has been acceptable. Further studies are needed to evaluate the procedure's efficacy and to delineate the clinical situations wherein it is most useful. The technique demands a significant training commitment from surgeons and may become obsolete with the evolution of more sophisticated approaches.