LAPAROSCOPIC PELVIC LYMPH-NODE DISSECTION FOR CARCINOMA OF THE PROSTATE AND BLADDER

被引：7

作者：

BOWSHER, WG ^{[1
]}

CLARKE, A ^{[1
]}

CLARKE, DG ^{[1
]}

COSTELLO, AJ ^{[1
]}

机构：

[1] ST VINCENTS HOSP,DEPT UROL,FITZROY,VIC 3065,AUSTRALIA

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1992年 / 62卷 / 08期

关键词：

BLADDER; CARCINOMA; LAPAROSCOPY; PROSTATE;

D O I：

10.1111/j.1445-2197.1992.tb07535.x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Improvements in instruments and camera systems have allowed the development of operative techniques for laparoscopic pelvic lymph node dissection. A series of dissections in 20 patients is reported. The mean operation time was 1 h and 40 min. When the nodes appeared malignant, a node biopsy was sent for frozen section. If this was positive, the dissection went no further. In three patients it was necessary to complete the operation by open surgery. A mean number of five lymph nodes was dissected per side. After laparoscopic dissection, all patients were discharged the morning after surgery. The operation is possible without making great demands on hospital bed occupancy and the patient has a comfortable and speedy return to normal activity. Using laparoscopic techniques, node dissection becomes a more appealing option as an investigation and staging procedure.

引用

页码：634 / 637

页数：4

共 18 条

[1]

Semm K., Friedrich E.R., Operative Manual for Endoscopic Abdominal Surgery, (1987)

[2]

Hermanek P., Sobin L.H., TNM classification of malignant tumours, (1987)

[3]

Osterling J.E., Chan D.W., Epstein J.I., Et al., Prostate specific antigen in the preoperative and postoperative evaluation of localised prostatic cancer treated with radical prostatectomy, J. Urol., 139, pp. 766-772, (1988)

[4]

Bowsher W.G., Clarke A., Clarke D.G., Costello A.J., Laparoscopic pelvic lymph node dissection, Br. J. Urol, (1991)

[5]

Schuessler W.W., Vancaillie H.R., Reich H., Et al., Transperitoneal endosurgical lymphadenectomy in patients with localised prostate cancer, J. Urol., 145, pp. 988-991, (1991)

[6]

Reddick E.J., Olsen D.O., Laparoscopic laser cholecystectomy. A comparison with mini‐lap cholecystectomy, Surg. Endosc., 3, (1989)

[7]

Lytton B., Early prostatic cancer, The Prostate, (1986)

[8]

Paulson D.F., The impact of current staging procedures in assessing disease extent of prostatic adenocarcinoma, J. Urol., 121, pp. 300-302, (1979)

[9]

Chadwick D.J., Cobby M., Goddard P., Et al., Comparison of transrectal ultrasound and magnetic resonance imaging in the staging of prostate cancer, Br. J. Urol., 67, pp. 616-621, (1991)

[10]

O'Donoghue E.P.N., Shridar P., Sherwood T., Et al., Lymphography and pelvic lymphadenectomy in carcinoma of the prostate, Br. J. Urol., 48, pp. 689-696, (1976)

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