Critique of laparoscopic lymphadenectomy in genitourinary oncology.
Regional lymphadenectomy is prognostic and selectively therapeutic in urologic oncology. The role of lymphadenectomy continues to be defined with the evolving multimodal management of genitourinary malignancies. Laparoscopy is playing a greater role in the management of genitourinary malignancies and thus, it is germane to critique the role of laparoscopic lymphadenectomy in the management of these tumors. Review of the literature suggests that laparoscopic pelvic lymphadenectomy is feasible with nodal yields commensurate to those in open published series. Although laparoscopic retroperitoneal lymph node dissection for nonseminomatous germ cell tumor is feasible, the technique and efficacy of this procedure require further investigation.
Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
Antonio
A
Finelli
Alireza
A
Moinzadeh
Dinesh
D
Singh
Anup P
AP
Ramani
Mihir M
MM
Desai
Inderbir S
IS
Gill
D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision / Q000379:methods*; D009373:Neoplasms, Germ Cell and Embryonal / Q000473:pathology* / Q000601:surgery*; D011379:Prognosis; D014571:Urologic Neoplasms / Q000473:pathology* / Q000601:surgery*