[Laparoscopic lymph node dissection: technique and results].
For 20 years laparoscopic pelvic and para-aortal lymph node dissection has become increasingly popular as part of minimally invasive surgical treatment concepts for women suffering from gynaecological malignancies. Especially patients suffering from early-stage cervical or endometrial cancers can benefit from the general advantages of a minimally invasive procedure if a comparable degree of radical surgery is achieved. The feasibility and case-control studies published so far suggest comparable indicators of radicality, such as the number of dissected lymph nodes, but also demonstrate potential advantages like a lower intra-operative blood loss, shorter hospital stay and lower postoperative complication rate in comparison with the conventional approach. Regarding long-term survival, reliable data from prospective randomized studies are still lacking but can be expected to be available in the near future.
Fleisch
Markus C
MC
Universitatsfrauenklinik, Heinrich-Heine-Universitat, Moorenstrasse 5, Dusseldorf, Germany. fleisch@uni-duesseldorf.de
Rein
Daniel T
DT
D005260:Female; D005833:Genital Neoplasms, Female / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000639:trends*; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis