[Presurgical hypogastric lymph node marking under CT guidance, aided by hidrodissection]

Area of Science:

• Oncology
• Surgical Procedures
• Medical Imaging

Background:

• Pre-surgical lymph node marking is a critical component in cancer patient management.
• Accurate identification of lymph node involvement is essential for effective treatment planning and surgical resection.

Observation:

• A 60-year-old male patient with a history of prostatic adenocarcinoma was scheduled for hypogastric adenopathy resection.
• Image-guided pre-surgical marking was deemed necessary for precise surgical planning.

Findings:

• The preoperative marking procedure was successfully performed under local anesthesia.
• Computed tomography (CT) guidance, transosseous access, and hydrodissection were utilized for the marking process.

Implications:

• This report presents a minimally studied technique for the surgical identification of deep pelvic adenopathy.
• The described method offers a potential solution for challenging lymph node localization in oncologic surgery.
• Further research and reporting of this technique could enhance surgical precision and patient outcomes in deep pelvic surgeries.