Surgical advantages of laparoscopic pelvic and para-aortic lymph node dissection using the thermal welding instrument compared with conventional laparotomy for lymph node dissection
| Autor: | Li Hsuan Chiu, Yuan-Kuei Yen, Wen-Hsun Chang, Yen-Hsieh Chiu, Ching-Hui Chen, I-De Wang, Wei Min Liu |
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| Rok vydání: | 2013 |
| Předmět: |
Laparotomy
medicine.medical_specialty Para-aortic lymph node medicine.diagnostic_test business.industry medicine.medical_treatment Endometrial cancer Obstetrics and Gynecology Lymphadenectomy medicine.disease lcsh:Gynecology and obstetrics Surgery Dissection medicine.anatomical_structure medicine Laparoscopy Lymph business Lymph node lcsh:RG1-991 |
| Zdroj: | Gynecology and Minimally Invasive Therapy, Vol 2, Iss 4, Pp 132-134 (2013) |
| ISSN: | 2213-3070 |
| DOI: | 10.1016/j.gmit.2013.07.007 |
| Popis: | Objectives: We sought to evaluate the feasibility of laparoscopic pelvic lymph node dissection (PLND) and para-aortic lymph node dissection (PALND) using a thermal ligating shears (TLS) thermal welding instrument comparing with the conventional laparotomic PLND and PALND in the management of endometrial cancer. Materials and methods: The current study retrospectively reviewed 100 patients who underwent TLS laparoscopic PLND and PALND and 20 patients who underwent abdominal PLND and PALND as a control group between July 2003 and December 2008. The surgical parameters were compared between the groups. Results: In the TLS laparoscopic group, 73 patients underwent PLND and 27 patients underwent PLND and PALND; in the conventional laparotomic group, nine patients underwent PLND and 11 patients underwent PLND and PALND. Compared to the laparotomic group, the surgical parameters of the laparoscopic group including mean operating time (52 minutes vs. 76 minutes, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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