Efficacy of laparoscopic mesenteric/retroperitoneal lymph node biopsy

Diulus, Lewis; Chalikonda, Sricharan; Pitt, Tracy; Rosenblatt, Steven

doi:10.1007/s00464-008-9935-7

Cited by 14 publications

(14 citation statements)

References 19 publications

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“…However, in some occasions the anatomic location of the lymph node as well as undesirable events such as bleeding from the biopsy site may necessitate conversion of the procedure to open. In the present cohort we were able to achieve a zero conversion rate but according to the literature the latter could be high enough reaching 17-20% [9,10,19]. Careful interpretation of the preoperative CT scans as well as the standardization of the technique are vital steps for avoiding conversions.…”

Section: Discussionmentioning

confidence: 50%

“…However, the latter is an invasive procedure which is associated with a prolonged convalescence and a delay in the final treatment. Lately, laparoscopy has been increasingly applied for the biopsy of abdominal lymph nodes [9,10]. The profound advantages of this approach are the excellent diagnostic accuracy, the minimal surgical trauma and the fast recovery [10].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fever of Unknown Origin Associated with Intrabdominal Lymphadenopathy, the Efficiency of Laparoscopic Biopsy

Stavros¹,

Zygomalas²,

Roza³

et al. 2013

J Med Diagn Meth

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Section: Discussionmentioning

confidence: 50%

Section: Introductionmentioning

confidence: 99%

Fever of Unknown Origin Associated with Intrabdominal Lymphadenopathy, the Efficiency of Laparoscopic Biopsy

Stavros¹,

Zygomalas²,

Roza³

et al. 2013

J Med Diagn Meth

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“…Diulus et al [10] reported a conversion rate of 13 %, but a low complication Fig. 1 A retroperitoneal tumor was located between the right internal and external iliac arteries near the ureter (case 6).…”

Section: Discussionmentioning

confidence: 96%

Diagnostic laparoscopic biopsy for intraabdominal tumors

Sakamoto

Karashima²,

Ida³

et al. 2014

Surg Today

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Improvements in imaging technology have resulted in an increase in the incidental detection of intraabdominal tumors. Diagnostic computed tomography (CT)- and ultrasound (US)-guided biopsy, while minimally invasive, often provides specimens that are insufficient for histological evaluation. Moreover, it can be difficult to perform because the location and size of the tumor. In such cases, laparoscopic biopsy is useful because it is less invasive than laparotomy, but more reliable than imaging-guided biopsy, to obtain a sufficient specimen, regardless of the location and size of the tumor. We report a series of seven patients who underwent laparoscopic biopsy of intraabdominal tumors of unknown origin. There were no cases of conversion to laparotomy and all patients were able to resume oral intake on postoperative day 1. There were no intraoperative or postoperative complications. Thus, laparoscopic biopsy for a tumor of unknown origin is useful and minimally invasive.

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“…In most previous reports, the procedure was performed by general surgeons using the transperitoneal approach [411121314]. However, a relatively high rate of conversion to laparotomy has been described, usually because of inadequate exposure, insufficient tissue, or postoperative adhesions.…”

Section: Introductionmentioning

confidence: 99%

Advantage of urological experience with both transperitoneal and retroperitoneal laparoscopy in lymph node biopsy for malignant lymphoma diagnosis

et al. 2016

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PurposeLaparoscopic urologists are familiar with both transperitoneal and retroperitoneal approaches. That experience is an advantage when devising a strategy for intra-abdominal lymph node biopsy. We report the feasibility and effectiveness of laparoscopic biopsy using a urological laparoscopic technique for the treatment of patients with clinically suspected intra-abdominal lymphoma.Materials and MethodsFrom October 2010 to April 2015, a total of 22 patients underwent laparoscopic biopsy for suspected intra-abdominal lymphoma. We adopted a retroperitoneal approach for paraaortic or paracaval masses, whereas we used a transperitoneal approach for mesenteric, iliac, or obturator masses. Whenever possible, an entire node was removed; otherwise, the biopsy consisted of wedge resection sized at least 1 cm3.ResultsBiopsy specimens were obtained from the following lymph node sites: 10 paraaortic, 5 paracaval, 3 mesenteric, 2 obturator, 1 common iliac, and 1 perinephric fat. Laparoscopic lymph node biopsy was completed in all patients, and there were no conversions to open surgery. The median operating time was 97 minutes (range, 62–167 minutes). The estimated blood loss was <50 mL in all cases. Postoperatively, one patient (4.5%) had symptomatic chylous lymphocele that required surgical intervention. Precise diagnosis was established for all patients: malignant lymphoma in 20 patients and metastatic urothelial carcinoma and squamous cell carcinoma of unknown origin in 1 patient each. All lymphomas could be fully subclassified.ConclusionsAppropriate use of the transperitoneal or retroperitoneal approach is safe and effective for laparoscopic lymph node biopsy in patients with suspected intra-abdominal lymphoma.

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Efficacy of laparoscopic mesenteric/retroperitoneal lymph node biopsy

Abstract: Laparoscopic lymph node biopsy is a safe effective alternative to open surgical biopsy.

Cited by 14 publications

References 19 publications

Fever of Unknown Origin Associated with Intrabdominal Lymphadenopathy, the Efficiency of Laparoscopic Biopsy

Fever of Unknown Origin Associated with Intrabdominal Lymphadenopathy, the Efficiency of Laparoscopic Biopsy

Diagnostic laparoscopic biopsy for intraabdominal tumors

Advantage of urological experience with both transperitoneal and retroperitoneal laparoscopy in lymph node biopsy for malignant lymphoma diagnosis

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