Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Extraperitoneal laparoscopic paraaortic lymph node dissection: development of a technique

S A Vasilev1, K F McGonigle

  • 1Department of Gynecology, City of Hope National Medical Center, Duarte, California, USA.

Journal of Laparoendoscopic Surgery
|April 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Uterine effects of tamoxifen: a prospective study.

International journal of gynecological cancer : official journal of the International Gynecological Cancer Society·2006
Same author

The use of continuous infusion topotecan in persistent and recurrent ovarian cancer.

International journal of gynecological cancer : official journal of the International Gynecological Cancer Society·2003
Same author

Ovarian cancer metastatic to the brain: what is the optimal management?

Journal of surgical oncology·2001
Same author

Endometrial cancer: recent developments in evaluation and treatment.

Oncology (Williston Park, N.Y.)·2000
Same author

An experience with estrogen replacement therapy in breast cancer survivors.

International journal of fertility and women's medicine·1999
Same author

Ovarian histopathology in breast cancer patients receiving tamoxifen.

Gynecologic oncology·1999

A novel extraperitoneal laparoscopic technique for paraaortic lymph node dissection was developed in pigs. This method avoids bowel complications and provides excellent retroperitoneal exposure for cervical cancer staging.

Area of Science:

  • Surgical oncology
  • Minimally invasive surgery
  • Gynecologic oncology

Background:

  • Accurate staging of cervical cancer spread is crucial for treatment planning, particularly for extended field radiation therapy.
  • Pathologic evaluation of pelvic and paraaortic lymph nodes is essential, as clinical staging is often inaccurate.
  • Traditional transperitoneal approaches for lymph node dissection can lead to intraperitoneal adhesions and bowel complications.

Purpose of the Study:

  • To develop and evaluate an entirely extraperitoneal laparoscopic technique for paraaortic lymph node dissection.
  • To assess the feasibility and effectiveness of using latex balloon dissection technology in an extraperitoneal approach.
  • To determine if this technique can overcome the limitations of transperitoneal methods in a preclinical model.

Main Methods:

Related Experiment Videos

  • Development of a novel, entirely extraperitoneal laparoscopic technique for paraaortic lymph node dissection in a porcine model.
  • Utilized latex balloon dissection technology to facilitate dissection within the retroperitoneal space.
  • Evaluated the technique for speed, learning curve, and ability to achieve adequate surgical exposure.

Main Results:

  • The developed extraperitoneal laparoscopic technique was quick to perform and had a short learning curve.
  • The technique successfully eliminated the need for bowel retraction or dissection, preventing associated complications.
  • Excellent bilateral retroperitoneal exposure was achieved, covering the area from the renal to the iliac vessels for aortocaval lymph node dissection.

Conclusions:

  • An entirely extraperitoneal laparoscopic approach for paraaortic lymph node dissection is feasible and effective in a preclinical model.
  • This technique offers a significant advantage over transperitoneal methods by avoiding bowel complications.
  • The use of latex balloon dissection technology facilitates efficient and safe retroperitoneal lymph node dissection for cervical cancer staging.