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The "peritoneal scaffold" technique of extended pelvic lymph node dissection during radical prostatectomy: A novel technique
| Content Provider | Scilit |
|---|---|
| Author | Nayak, Prasant Mallikarjuna, Chiruvella Ghouse, Syed Mohammed Reddy, K. Purnachandra Ragoori, Deepak Reddy Bendigeri, Mt Reddy, Siva |
| Copyright Year | 2016 |
| Abstract | Introduction: Laparoscopic or robotic-assisted laparoscopic radical prostatectomy (RALP) is a frequently used approach for localized carcinoma prostate. For intermediate and high-risk cancers, extended pelvic lymph node dissection (e-PLND), is often performed. Conventional e-PLND involves piecemeal retrieval of lymphatic tissue. We describe a novel technique of laparoscopic e-PLND, which involves en-masse removal of pelvic lymph nodes from each side, based on an overlying peritoneal scaffold.Materials and Methods: Fifteen cases of intermediate and high-risk carcinoma prostate underwent laparoscopic radical prostatectomy (LRP) with peritoneal scaffold based e-PLND within a period of 1 year. We describe the surgical techqniue and outcomes in terms of operative time and lymph nodes retrieved.Results: The mean operating times for "peritoneal scaffold" lymphatic dissection was 48 min (38-64). The total number of lymph nodes retrieved was 18 (14-22). There were no cases with postoperative lymph collection or hematoma.Conclusion: The "peritoneal scaffold" technique of e-PLND is a novel technique, which involves having a peritoneal scaffold to bind and hold all the lymphatic tissues together in its anatomical orientation during dissection. This enables complete retrieval of specimen during LRP and RALP. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054664/pdf http://www.indianjurol.com/article.asp?issn=0970-1591;year=2016;volume=32;issue=4;spage=310;epage=313;aulast=Mallikarjuna;type=2 |
| File Format | XHTML |
| ISSN | 09701591 |
| e-ISSN | 19983824 |
| DOI | 10.4103/0970-1591.189722 |
| Journal | Indian Journal of Urology |
| Issue Number | 4 |
| Volume Number | 32 |
| Language | English |
| Publisher | Medknow |
| Access Restriction | Open |
| Subject Keyword | Andrology Carcinoma Prostate Extended Pelvic Lymph Node Dissection Laparoscopic Pelvic Lymph Node Dissection Radical Prostatectomy Indian Journal of Urology, Volume 32, Issue 4 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Urology |