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Hip and knee replacement as a relative contraindication to laparoscopic pelvic lymph node dissection
C S Cooper1, J F Donovan, R B Terrell
1Department of Urology, University of Iowa, Iowa City, USA.
Purpose:
We investigated the effect of lower extremity joint prostheses on subsequent laparoscopic pelvic lymph node dissection.
Materials And Methods:
We reviewed the records and pathology studies of 5 patients who underwent laparoscopic pelvic lymph node dissection subsequent to total hip or knee replacement from 1990 through 1995.
Results:
Four of the 5 laparoscopic operations were complicated, 3 were unsuccessful in obtaining bilateral pelvic lymph nodes and 2 required conversion to an open procedure. Examination of the lymph nodes revealed sinus histiocytosis in the 4 cases in which nodal tissue was removed.
Conclusions:
The increased risk of complications in certain patients with lower extremity joint prostheses may contraindicate attempted laparoscopic pelvic lymph node dissection.