Transperitoneal para-aortic lymphadenectomy by robot assisted laparoscopy in 10 steps / 부인종양
Journal of Gynecologic Oncology
; : e74-2019.
Article
em En
| WPRIM
| ID: wpr-764549
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE:
Para-aortic lymphadenectomy was the cornerstone of gynecologic oncology surgery. In endometrial cancer, the quality of para-aortic lymphadenectomy had direct impact on survival of patient. The launch of robot assisted laparoscopy started in 2005 in France, and in 2008 a transperitoneal para-aortic lymphadenectomy was described [1]. With the increase of robots, the robot assisted laparoscopy became more and more popular, hence the need of video tutorial to help less experienced surgeon in this surgical procedure [2].METHODS:
We proposed a description in 10 key steps, of a transperitoneal para-aortic lymphadenectomy by robot assisted laparoscopy (Da Vinci® Si or Xi Robot Surgical System; Intuitive Surgical Inc., Sunnyvale, CA, USA), without other surgical procedure.RESULTS:
The 10 steps are Step 1 port placement and Da Vinci robot positioning Step 2 identification of the right ureter Step 3 identification of the left renal vein Step 4 latero-caval and aorto-caval lymph nodes dissection Step 5 identification of the left ureter Step 6 creation of peritoneal tent Step 7 identification of the inferior mesenteric artery Step 8 latero-aortal lymph nodes dissection Step 9 pre-sacral lymph nodes dissection Step 10 extraction of bags with specimen and surgical textileCONCLUSION:
A standardization of transperitoneal para-aortic lymphadenectomy by robot-assisted laparoscopy is the basis of teaching and learning process. Also it increases the quality of surgery, and consequently decreases the risk of complications.Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Veias Renais
/
Têxteis
/
Ureter
/
Neoplasias do Endométrio
/
Artéria Mesentérica Inferior
/
Laparoscopia
/
França
/
Aprendizagem
/
Excisão de Linfonodo
/
Linfonodos
Limite:
Female
/
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Journal of Gynecologic Oncology
Ano de publicação:
2019
Tipo de documento:
Article