Laparoscopic marsupialization of lymphocele after laparoscopic lymph node dissection.
The authors describe what appears to be the first case of transperitoneal marsupialization of a lymphocele following laparoscopic pelvic lymph node dissection. The 9.7 x 5.6 x 6-cm collection was opened, its edges were cauterized, and the internal membranes were resected with an operative time of 90 minutes and a blood loss of less than 30 mL. A multicenter trial may be useful to determine whether excision of a portion of the peritoneum or an inverted-V rather than a linear incision would decrease the incidence of lymphoceles after laparoscopic pelvic lymphadenectomy.
Fallick
M L
ML
Department of Urology, Tufts New England Medical Center, Boston, MA 02111, USA.
Long
J P
JP
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D001706:Biopsy; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D008197:Lymph Node Excision / Q000009:adverse effects*; D008210:Lymphocele / Q000209:etiology / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010388:Pelvis; D011471:Prostatic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000628:therapy