Extraperitoneal lymph node dissections with use of a midline incision in patients with female genital cancer |
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| Authors: | D G Gallup G H Jordan O E Talledo |
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| Affiliation: | 1. Department of Clinical Science, University of Bergen, Bergen, Norway;2. Division of Mental Health, Norwegian Institute of Public Health, Bergen, Norway;3. Department of Medicine, Haraldsplass Deaconess Hospital, Bergen, Norway;4. Uni Health, Uni Research, Bergen, Norway;5. Department of Psychiatry, Helse Fonna HF, Haugesund, Norway;6. Alcohol and Drug Research Western Norway, Stavanger University, Hospital Stavanger, Stavanger, Norway;1. Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK;2. Centre for Human Brain Health, University of Birmingham, Birmingham, UK;3. Neuroepidemiology Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia;4. Department of Psychology, Shahid Beheshti University, Tehran, Iran;1. Department of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, United States;2. Center for Cancer and Aging, City of Hope National Medical Center, Duarte, CA, United States;3. Magnetic Resonance Innovations, Inc., Detroit, MI, United States;4. Department of Population Science, City of Hope National Medical Center, Duarte, CA, United States;5. Division of Mathematical Oncology, City of Hope National Medical Center, Duarte, CA, United States;6. Department of Biomedical Engineering, Wayne State University, Detroit, MI, United States;7. Neurocognitive Research Lab, Memorial Sloan Kettering Cancer Center, New York, NY, United States;8. Center for Neuroimaging, Indiana University School of Medicine, Indianapolis, IN, United States;9. Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY, United States;10. Division of Neurology, City of Hope National Medical Center, Duarte, CA, United States;11. Department of Medical Oncology, City of Hope National Medical Center, Duarte, CA, United States;1. Institute of Gerontology, Wayne State University, Detroit, MI, USA;2. Psychology Department, Wayne State University, Detroit, MI, USA |
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| Abstract: | Recent investigations have suggested that extraperitoneal, as compared to transperitoneal, lymph node dissections may result in significantly less morbidity in patients who later have external beam irradiation. Some incisions designed to perform such dissections do not afford easy access to the opposite side. With use of a midline incision carried down to the preperitoneal space, 30 patients underwent bilateral pelvic lymph node dissections. When necessary, access to the para-aortic nodes by an extraperitoneal approach was accomplished by use of a modification of this midline incision. Operating time to complete the pelvic dissection ranged from 35 to 90 minutes. The mean estimated blood loss for the dissection was 135 ml. The advantages of this extraperitoneal approach include easy access to lymph nodes on either side, ability to use the peritoneum as a pack, and an easier access to the obturator space nodes. |
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