[Sub-venous iliac lymphatic dissection with celioscopy for the staging of prostatic cancer (16 patients)].
Identifieur interne : 000988 ( France/Analysis ); précédent : 000987; suivant : 000989[Sub-venous iliac lymphatic dissection with celioscopy for the staging of prostatic cancer (16 patients)].
Auteurs : J D Doublet [France] ; B. Gattegno ; B. D'Acremont ; B. Lukacs ; P. ThibaultSource :
- Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie [ 1166-7087 ] ; 1992.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Tumeurs de la prostate.
- effets indésirables : Lymphadénectomie.
- Abdomen, Adulte d'âge moyen, Endoscopie, Humains, Mâle, Stade de la tumeur, Sujet âgé, Veine iliaque commune.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision.
- methods : Neoplasm Staging.
- pathology : Prostatic Neoplasms.
- Abdomen, Aged, Endoscopy, Humans, Iliac Vein, Male, Middle Aged.
Abstract
Subvenous external iliac lymph node dissection is an essential element for the staging of prostatic cancer. 7 to 30% of patients with intracapsular prostatic cancer have lymph node metastases despite normal imaging examinations. Laparoscopic surgery allows lymph node dissection through a limited incision. Sixteen patients underwent laparoscopic lymph node dissection (LLND) for prostatic cancer. The mean duration of the operation was 100 +/- 50 minutes (35-180 min: 130 minutes for the first nine operations, then 60 minutes for the last seven operations). One patient died on the second day from a cerebral vascular accident. There was one technical failure (pneumoperitoneum leak), one vascular injury, one ureteric injury, one transient paresis of the obturator nerves and one case of perineal lymphoedema. The mean number of lymph nodes removed in bilateral lymph node dissection was 7.5 +/- 2 (14-20) per patient. Three patients had lymph node metastases. The mean hospital stay related to laparoscopy was 4 +/- 2 days with a median of 2 days. Laparoscopic surgery, like any conventional or innovative surgical technique, requires specific training to become safe and effective. It allows complete histological examination of the lymph nodes removed and planning of prostatectomy, which may be subsequently performed through a perineal approach.
PubMed: 1302129
Affiliations:
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pubmed:1302129Le document en format XML
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D'Acremont</name></author><author><name sortKey="Lukacs, B" sort="Lukacs, B" uniqKey="Lukacs B" first="B" last="Lukacs">B. Lukacs</name></author><author><name sortKey="Thibault, P" sort="Thibault, P" uniqKey="Thibault P" first="P" last="Thibault">P. 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Gattegno</name></author><author><name sortKey="D Acremont, B" sort="D Acremont, B" uniqKey="D Acremont B" first="B" last="D'Acremont">B. D'Acremont</name></author><author><name sortKey="Lukacs, B" sort="Lukacs, B" uniqKey="Lukacs B" first="B" last="Lukacs">B. Lukacs</name></author><author><name sortKey="Thibault, P" sort="Thibault, P" uniqKey="Thibault P" first="P" last="Thibault">P. Thibault</name></author></analytic><series><title level="j">Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie</title><idno type="ISSN">1166-7087</idno><imprint><date when="1992" type="published">1992</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdomen</term><term>Aged</term><term>Endoscopy</term><term>Humans</term><term>Iliac Vein</term><term>Lymph Node Excision (adverse effects)</term><term>Male</term><term>Middle Aged</term><term>Neoplasm Staging (methods)</term><term>Prostatic Neoplasms (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Abdomen</term><term>Adulte d'âge moyen</term><term>Endoscopie</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Mâle</term><term>Stade de la tumeur ()</term><term>Sujet âgé</term><term>Tumeurs de la prostate (anatomopathologie)</term><term>Veine iliaque commune</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs de la prostate</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Neoplasm Staging</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Prostatic Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Abdomen</term><term>Aged</term><term>Endoscopy</term><term>Humans</term><term>Iliac Vein</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Abdomen</term><term>Adulte d'âge moyen</term><term>Endoscopie</term><term>Humains</term><term>Mâle</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Veine iliaque commune</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Subvenous external iliac lymph node dissection is an essential element for the staging of prostatic cancer. 7 to 30% of patients with intracapsular prostatic cancer have lymph node metastases despite normal imaging examinations. Laparoscopic surgery allows lymph node dissection through a limited incision. Sixteen patients underwent laparoscopic lymph node dissection (LLND) for prostatic cancer. The mean duration of the operation was 100 +/- 50 minutes (35-180 min: 130 minutes for the first nine operations, then 60 minutes for the last seven operations). One patient died on the second day from a cerebral vascular accident. There was one technical failure (pneumoperitoneum leak), one vascular injury, one ureteric injury, one transient paresis of the obturator nerves and one case of perineal lymphoedema. The mean number of lymph nodes removed in bilateral lymph node dissection was 7.5 +/- 2 (14-20) per patient. Three patients had lymph node metastases. The mean hospital stay related to laparoscopy was 4 +/- 2 days with a median of 2 days. Laparoscopic surgery, like any conventional or innovative surgical technique, requires specific training to become safe and effective. It allows complete histological examination of the lymph nodes removed and planning of prostatectomy, which may be subsequently performed through a perineal approach.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="D Acremont, B" sort="D Acremont, B" uniqKey="D Acremont B" first="B" last="D'Acremont">B. D'Acremont</name><name sortKey="Gattegno, B" sort="Gattegno, B" uniqKey="Gattegno B" first="B" last="Gattegno">B. Gattegno</name><name sortKey="Lukacs, B" sort="Lukacs, B" uniqKey="Lukacs B" first="B" last="Lukacs">B. Lukacs</name><name sortKey="Thibault, P" sort="Thibault, P" uniqKey="Thibault P" first="P" last="Thibault">P. Thibault</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Doublet, J D" sort="Doublet, J D" uniqKey="Doublet J" first="J D" last="Doublet">J D Doublet</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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