Bilateral endoscopic inguinofemoral lymphadenectomy using simultaneous carbon dioxide insufflation: an initial report of a novel approach.
Inguinal lymphadenectomy plays a critical role in the diagnosis and treatment of several neoplastic diseases.  Frequently, bilateral lymphadenectomy is undertaken for staging and/or treatment of genitourinary cancers.  Our objective was to determine if bilateral endoscopic lymphadenectomy could be performed simultaneously, in an effort to decrease overall anesthetic and operative time.  This was accomplished by utilizing two carbon dioxide insufflators concurrently.  This approach requires careful positioning of the patient, surgical team, and instrumentation, as well as special anesthetic considerations necessary to avoid severe hypercarbia.  Simultaneous bilateral endoscopic inguinal lymphadenectomy is a technically feasible and efficient surgical approach.
Department of Urology, Emory University, Atlanta, Georgia 30322, USA.
Lindsey A
LA
Herrel
Ryan M
RM
Butterworth
Syed M
SM
Jafri
Carl
C
Ying
Keith A
KA
Delman
David A
DA
Kooby
Kenneth E
KE
Ogan
Daniel J
DJ
Canter
Viraj A
VA
Master
D002245:Carbon Dioxide; D002294:Carcinoma, Squamous Cell / Q000556:secondary*; D005269:Femur; D006801:Humans; D007264:Inguinal Canal; D007327:Insufflation; D008197:Lymph Node Excision / Q000295:instrumentation / Q000379:methods*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010412:Penile Neoplasms / Q000473:pathology*; D013997:Time Factors; D020535:Video-Assisted Surgery
D002245:Carbon Dioxide