Laparoscopic Para-Aortic Lymph Node Dissection

Laparoscopic Para-aortic lymph node dissection was performed for 10 patients with FIGO stage 1-2A endometrial carcinoma since Dec 2016 and analysed prospectively. After completing type B2 radical hysterectomy for Carcinoma Endometrium, peritoneal cut on right side extended proximally to expose bifurcation of aorta and IVC. Right ureter lateralised and cut edge of peritoneum is hung in a tent shape using 2.0 nylon. Fibro-fatty tissue anterior to aorta and IVC is dissected using suction cannula, harmonicTM/ ligasureTM shears upto crossing of left renal vein seen as cranial limit.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Source Type: research