title: Laparoscopic extraperitoneal lumboaortic lymphadenectomy in 10 steps - Let's make it easier!
abstract: OBJECTIVE
  Laparoscopic extraperitoneal lymphadenectomy has both advantages of minimally invasive approach and retroperitoneal access. Although procedure is described for more than two decades there is a lack of diffusion of the technique. Standardization and simple description of the technique is main objective of this video. We described this procedure in 10 logical steps which could help to understand and perform this procedure.
  
  
  METHODS
  This video presents systematic approach to extraperitoneal lumboaortic lymphadenectomy which was clearly divided in ten steps ordered in a counter-clockwise direction.
  
  
  RESULTS
  CONCLUSIONS: Laparoscopic extraperitoneal access to lumboaortic lymph nodes is an effective method of lymphadenectomy which may bring benefits to a patient and physician. Presented ten steps help to perform each part of surgery in logical sequence making procedure ergonomic, easier to adopt and learn. Prior development of operative area in the extraperitoneal space followed by identification of anatomical landmarks is an important step which should precede lymph node dissection. Standardization of laparoscopic techniques could help to reduce learning curve.
authors: Department of Gynecological Surgery, CHU Clermont Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France; 2nd Department of Gynecology Medical University of Lublin, ul. Jaczewskiego 8, 20-954 Lublin, Poland.
authors: Krzysztof
authors: K
authors: Gałczyński
authors: Department of Gynecological Surgery, CHU Clermont Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France; Faculté de Médecine, ALCoV-ISIT (UMR6284 CNRS/Université d'Auvergne), 28 Place Henri Dunant, 63000 Clermont-Ferrand, France.
authors: Pauline
authors: P
authors: Chauvet
authors: Department of Gynecological Surgery, CHU Clermont Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France; Faculté de Médecine, ALCoV-ISIT (UMR6284 CNRS/Université d'Auvergne), 28 Place Henri Dunant, 63000 Clermont-Ferrand, France.
authors: Michel
authors: M
authors: Canis
authors: Department of Gynecological Surgery, CHU Clermont Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France; Faculté de Médecine, ALCoV-ISIT (UMR6284 CNRS/Université d'Auvergne), 28 Place Henri Dunant, 63000 Clermont-Ferrand, France. Electronic address: nicolas.bourdel@gmail.com.
authors: Nicolas
authors: N
authors: Bourdel
mesh_terms: D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*
keywords: Laparoscopy; Lumboaortic lymphadenectomy; Procedure standardization; Surgical technique