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Extraperitoneal endoscopic gasless pelvic lymph node dissection

D Etwaru1, A Raboy, G Ferzli

  • 1Department of Urology and Laparoendoscopic Surgery, Staten Island University Hospital-A Division of SUNY Health Science Center at Brooklyn, New York.

Journal of Laparoendoscopic Surgery
|April 1, 1994
PubMed
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A novel gasless approach for staging prostate cancer via extraperitoneal pelvic lymph node dissection offers a cost-effective alternative. This method avoids carbon dioxide insufflation, reducing potential complications and instrument costs.

Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • The insufflated extraperitoneal approach is an alternative for staging prostate cancer.
  • Potential pitfalls include specialized instrumentation, insufflation, and anesthesia.

Purpose of the Study:

  • To present a totally gasless extraperitoneal approach for pelvic lymph node dissection.
  • To overcome limitations of the insufflated technique.

Main Methods:

  • Development of a gasless extraperitoneal technique.
  • Utilizes standard surgical instruments.
  • Employs general anesthesia without carbon dioxide insufflation.

Main Results:

  • The gasless approach avoids specialized endoscopic instrumentation and insufflation equipment.

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  • It uses devices like laprolift and laprofan to maintain the extraperitoneal cavity.
  • This method is more cost-effective.

    • Conclusions:

    • The totally gasless extraperitoneal approach is a viable and cost-effective alternative for staging prostate cancer.
    • It mitigates risks associated with insufflation and specialized equipment.