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

Laparoscopic paraaortic lymphadenectomy using laparosonic coagulating shears

J Shen-Gunther1, R S Mannel, J L Walker

  • 1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Nevada School of Medicine, 2040 West Charleston Boulevard, Suite 200, Las Vegas, NV 89102, USA.

The Journal of the American Association of Gynecologic Laparoscopists
|April 18, 1998
PubMed
Summary

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

Review: Implantation and placentation in ruminants.

Animal : an international journal of animal bioscience·2023
Same author

Western Iowa Veterinary Medical Association.

The Journal of comparative medicine and veterinary archives·2022
Same author

Western Iowa Veterinary Medical Association.

The Journal of comparative medicine and veterinary archives·2022
Same author

The Technique of the Tuberculin Test.

The Journal of comparative medicine and veterinary archives·2022
Same author

Practical Antisepsis in Surgery.

The Journal of comparative medicine and veterinary archives·2022
Same author

MRI-Based Deep Learning Segmentation and Radiomics of Sarcoma in Mice.

Tomography (Ann Arbor, Mich.)·2020

Laparoscopic paraaortic lymphadenectomy using laparosonic coagulating shears (LCS) is a safe and effective procedure for cervical cancer management. This ultrasonic technology minimizes thermal damage, offering a safer alternative for gynecologic oncology surgery.

Area of Science:

  • Gynecologic Oncology
  • Surgical Technology
  • Minimally Invasive Surgery

Background:

  • Operative laparoscopy is increasingly utilized in gynecologic oncology for procedures like lymphadenectomy.
  • Innovations in endosurgical instrumentation enhance the feasibility and safety of laparoscopic approaches.
  • Accurate staging and treatment of gynecologic malignancies often require lymph node assessment.

Observation:

  • Two patients with cervical carcinoma underwent laparoscopic paraaortic lymphadenectomy using laparosonic coagulating shears (LCS).
  • The LCS enabled simultaneous cutting and coagulation of tissue without electrical current.
  • Histological evaluation of lymphatic tissues revealed no thermal artifacts post-procedure.

Findings:

  • Laparoscopic procedures were completed in 55 and 65 minutes with minimal blood loss (20-30 ml).

Related Experiment Videos

  • No surgical complications were observed in either patient.
  • The ultrasonically activated scalpel of the LCS demonstrated efficacy in tissue dissection and hemostasis.

    • Implications:

    • The LCS offers a potentially safer alternative to traditional electrocoagulation, reducing risks of thermal and electrical injury.
    • Ultrasonic-activated technology warrants further clinical investigation for laparoscopic lymphadenectomy in gynecologic oncology.
    • This technology may expand the application of minimally invasive techniques in managing gynecologic malignancies.