title: A modified incision and technique for total retroperitoneal access and lymph node dissection.
abstract: Surgical assessment of aortocaval lymph nodes in patients with unresectable primary cervical cancer helps in planning radiation treatment ports. Removal of enlarged lymph nodes may also serve a therapeutic purpose in reducing the tumor load to be sterilized by radiation. An extraperitoneal dissection is considered to be superior to a transperitoneal approach, and numerous incisions to access either the upper or the lower retroperitoneum have been described. A modified supraumbilical incision and technique that provide wide bilateral exposure of the retroperitoneum from the suprarenal aorta to the obturator fossae were used in six patients.
authors.affiliation: Department of Gynecology, City of Hope National Medical Center, Duarte, California 91010, USA.
authors.forename: S A
authors.initials: SA
authors.lastname: Vasilev
mesh_terms: D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D012187:Retroperitoneal Space; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy / Q000601:surgery*