Pelvic Lymphadenectomy

Steven M. Lucas, Chandru P. Sundaram

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Laparoscopic pelvic lymph node dissection has provided a means of staging urologic malignancies with reduced mobidity. The predominant indication for lymphadenectomy is for prognostic purposes. It has been shown in prostate, bladder, urethral, and penile cancer that metastasis to pelvic lymph nodes portends a worse prognosis. The reduced morbidity and increased laparoscopic experience, coupled with a greater diagnostic yield with extended lymphadenectomies, has led to a more aggressive approach to lymphadenectomy in recent years. In this chapter the indications for laparoscopic pelvic lymphadenectomy are reviewed. The pelvic anatomy and surgical technique of laparoscopic and robotic lymphadenectomy is described. Finally, the outcomes in terms of efficacy and complications are summarized.

Original languageEnglish (US)
Title of host publicationSmith's Textbook of Endourology
Subtitle of host publication3rd Edition
PublisherWiley-Blackwell
Pages893-916
Number of pages24
Volume2
ISBN (Print)1444335545, 9781444335545
DOIs
StatePublished - Jan 5 2012

Keywords

  • Laparoscopy
  • Pelvic lymphadenectomy
  • Robotic surgery
  • Surgical technique
  • Urologic cancer

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Lucas, S. M., & Sundaram, C. P. (2012). Pelvic Lymphadenectomy. In Smith's Textbook of Endourology: 3rd Edition (Vol. 2, pp. 893-916). Wiley-Blackwell. https://doi.org/10.1002/9781444345148.ch77