Comparison of single-port laparoscopy and conventional laparoscopy for extraperitoneal para-aortic lymphadenectomy

Hudry, Delphine; Cannone, Francesco; Houvenaeghel, Gilles; Buttarelli, M.; Jauffret, Camille; Chéreau, E.; Lambaudie, Éric

doi:10.1007/s00464-013-3051-z

Cited by 18 publications

(10 citation statements)

References 30 publications

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“…However, published series have not documented cases in which encountered complications have been managed through the extraperitoneal approach [20,21], which is most probably due to the high surgical expertise of these teams.…”

Section: Discussionmentioning

confidence: 93%

Comparison Between Transperitoneal and Extraperitoneal Laparoscopic Paraaortic Lymphadenectomy in Gynecologic Malignancies

Akladios

Ronzino

Schrot-Sanyan

et al. 2015

Journal of Minimally Invasive Gynecology

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Section: Discussionmentioning

confidence: 93%

Comparison Between Transperitoneal and Extraperitoneal Laparoscopic Paraaortic Lymphadenectomy in Gynecologic Malignancies

Akladios

Ronzino

Schrot-Sanyan

et al. 2015

Journal of Minimally Invasive Gynecology

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“…Gouy et al 36 performed extraperitoneal lymphadenectomy with an incision at a point situated one-third of the way along the line from the anterior superior iliac spine toward the umbilicus. Lambaudie et al 37 and Hurdy et al 38 introduced the incision at the patient’s left side between the iliac crest and the last ribs.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic technique of para-aortic lymph node dissection: A comparison of the different approaches to trans- versus extraperitoneal para-aortic lymphadenectomy

Kusunoki

Huang

Magno

et al. 2017

Gynecology and Minimally Invasive Therapy

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Since Dr Dargent first reported endoscopic surgery using retroperitoneal pelvicoscopy to perform pelvic lymph node sampling in 1987, many literature reviews on the safety and feasibility of laparoscopic staging surgery of gynecologic malignancies have been published. However, the procedure of laparoscopic lymphadenectomy is more difficult to perform due to the limited surgical space and associated technical problems. Especially in the para-aortic lymphadenectomy procedure, there are many barriers to overcome in the surgical field, learning curve, and technique. We present a review of lymphadenectomy, especially para-aortic lymphadenectomy.

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“…living donor nephrectomy and varicocelectomy, LESS reduced analgesic requirements and accelerated postoperative recovery as compared to conventional laparoscopy [ 9 , 10 , 18 ]. In staging lymphadenectomy for endometrial cancer, outcome parameters after LESS were comparable to those after conventional multiport laparoscopy [ 8 , 19 ]. One group, however, reported significantly reduced pain scores after LESS surgical staging for endometrial cancer [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…The application of LESS in urology encompasses a wide range of procedures, including pelvic lymphadenectomy in males with localized high-risk prostate cancer [ 3 – 7 ]. According to a few comparative studies, laparoendoscopic single-site surgery (LESS) may yield better postoperative outcomes compared with conventional multiport laparoscopic surgery [ 8 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Staging lymphadenectomy in patients with localized high risk prostate cancer: comparison of the laparoendoscopic single site (LESS) technique with conventional multiport laparoscopy

et al. 2014

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BackgroundIn patients with localized high-risk prostate cancer awaiting radiation therapy, pelvic lymphadenectomy (PL) is a reliable minimally invasive staging procedure. We compared outcomes after laparoendoscopic single site PL (LESSPL) with those after conventional multiport laparoscopic PL (MLPL).MethodsA retrospective case-control study was carried out at the authors’ center. For LESSPL the reusable X-Cone single port was combined with straight and prebent laparoscopic instruments and an additional 3 mm needlescopic grasper. MLPL was performed via four trocars of different sizes using standard laparoscopic instruments.ResultsPatients who underwent either LESSPL (n = 20) or MLPL (n = 97) between January 2008 and July 2013, were included in the study. Demographic data were comparable between groups. Patients in the LESSPL group tended to be older and had a significantly higher ASA-score. The mean operating time was 172.4 ± 34.1 min for LESSPL and 116.6 ± 40.1 min for MLPL (P < .001). During LESSPL, no conversion to MLPL was necessary. An average of 12 lymph nodes per patient was retrieved, with no significant difference between study groups. Postoperative pain scores were similar between groups. The hospital stay was 2.3 ± 0.7 days after LESSPL and 3.1 ± 1.2 days after MLPL (P = .01). Two days postoperatively, significantly more patients after LESSPL than after MLPL recovered their normal physical activity (P < .001). Six months postoperatively, no complications were registered in the LESSPL group and cosmetic results were excellent.ConclusionsIn the present study, shorter hospitalization and quicker postoperative recovery were major benefits of LESSPL over MLPL. In patients with localized prostate cancer, staging LESS pelvic lymphadenectomy may be a safe alternative to conventional multiport laparoscopy.

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Comparison of single-port laparoscopy and conventional laparoscopy for extraperitoneal para-aortic lymphadenectomy

Abstract: The SPL method appears to be a feasible approach, with surgical outcomes that are not statistically different from the CL method. The cosmetic aspect, the role of SPL in decreasing postoperative pain, and its impact on hospital stay must be confirmed prospectively in larger series.

Cited by 18 publications

References 30 publications

Comparison Between Transperitoneal and Extraperitoneal Laparoscopic Paraaortic Lymphadenectomy in Gynecologic Malignancies

Comparison Between Transperitoneal and Extraperitoneal Laparoscopic Paraaortic Lymphadenectomy in Gynecologic Malignancies

Laparoscopic technique of para-aortic lymph node dissection: A comparison of the different approaches to trans- versus extraperitoneal para-aortic lymphadenectomy

Staging lymphadenectomy in patients with localized high risk prostate cancer: comparison of the laparoendoscopic single site (LESS) technique with conventional multiport laparoscopy

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