Extraperitoneal Endoscopic Total Retroperitoneal Lymphadenectomy: No Bowel Surgery

Journal of Minimally Invasive Gynecology
Masaaki Andou

Abstract

We describe our ultra-minimally invasive retroperitoneal lymphadenectomy using the extraperitoneal approach. This technique was developed to make traditionally invasive oncologic surgery more patient friendly and safer by eliminating the bowel from the operative field. Description of a surgical technique. Canadian Task Force II-3. Urban general hospital in Japan. 320 Women undergoing endoscopic extraperitoneal paraaortic and pelvic lymphadenectomy for endometrial cancer from Jan 2001 to Dec 2013. Patients underwent endoscopic extraperitoneal para-aortic and pelvic lymphadenectomy for endometrial cancer. We accessed the retroperitoneal space with a visual access cannula (Endotip). This device easily facilitates peritoneal tenting. After expanding the extraperitoneal space by blunt dissection with forceps, carbon dioxide was infused. The upper limit of our dissection was the renal vein and the lower limit was the iliac circumflex vein. The extraperitoneal approach naturally creates a bowel-free operative field, even when dissecting in the pelvis. This approach only requires a 5-mm access hole, making it the least invasive approach to this kind of surgery. The 5-year survival rates for this intervention combined with hysterectomy ...Continue Reading

Citations

May 25, 2021·Gynecologic Oncology Reports·Shiori YanaiMasaaki Andou

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