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DIFFERENT APPROACHES OF VIDEOSCOPIC PARA- AORTIC LYMPHADENECTOMY AND PARA- AORTIC NODE SAMPLING
EAES Academy. Włodarczyk M. 07/05/22; 363109; P154
Marta Włodarczyk
Marta Włodarczyk
Contributions
Abstract
Significant development of minimally invasive techniques paves the way for new approaches to aortic and iliac lymph node resection procedures for both diagnostic and therapeutic reasons. As they may prove beneficial in patients with haematological diseases and patients with gynaecological and urological malignancies requiring lymphadenectomy, two techniques were developed, namely extraperitoneal and transperitoneal videoscopic para-aortic lymph node dissection.
As the volume of the material aspirated by needle biopsy may be inadequate, videoscopic techniques allow the surgeon to obtain sufficient amount of lymphatic tissue. Therefore, it plays key role in the diagnostic process of patients with haematological diseases by eliminating the risk of delayed diagnosis due to the failure of fine needle biopsy. The therapy in this patient group may begin earlier, which is of greatest importance in lymphomas.
Being an alternative for open laparotomy, videoscopic procedure offers multiple advantages. The possibility to avoid large incision results in the reduction of postoperative pain, risk of wound infection and incidence of postoperative hernia in the future. When compared to open laparotomy, videoscopic approach improves postoperative patient mobilization and reduces the length of hospital stay. Consequently, the delay in the introduction of adjuvant treatment, e.g. chemotherapy, may additionally be avoided.
Significant development of minimally invasive techniques paves the way for new approaches to aortic and iliac lymph node resection procedures for both diagnostic and therapeutic reasons. As they may prove beneficial in patients with haematological diseases and patients with gynaecological and urological malignancies requiring lymphadenectomy, two techniques were developed, namely extraperitoneal and transperitoneal videoscopic para-aortic lymph node dissection.
As the volume of the material aspirated by needle biopsy may be inadequate, videoscopic techniques allow the surgeon to obtain sufficient amount of lymphatic tissue. Therefore, it plays key role in the diagnostic process of patients with haematological diseases by eliminating the risk of delayed diagnosis due to the failure of fine needle biopsy. The therapy in this patient group may begin earlier, which is of greatest importance in lymphomas.
Being an alternative for open laparotomy, videoscopic procedure offers multiple advantages. The possibility to avoid large incision results in the reduction of postoperative pain, risk of wound infection and incidence of postoperative hernia in the future. When compared to open laparotomy, videoscopic approach improves postoperative patient mobilization and reduces the length of hospital stay. Consequently, the delay in the introduction of adjuvant treatment, e.g. chemotherapy, may additionally be avoided.

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