OBJECTIVE: To describe our robotic retroperitoneal para-aortic lymphadenectomy technique and the associated outcomes, as well as the advantages and disadvantages.
MATERIAL AND METHODS: We prospectively collected data on all retroperitoneal aortocaval lymphadenectomy procedures performed at Donostia University Hospital from December 2011 to April 2013, using a da Vinci S robotic system.
RESULTS: A total of 13 of these procedures were performed. Median patient age was 60.3 years. Most patients were obese, with a mean BMI of 31.95 kg/m2 (20.07-41.5), and 9 had endometrial cancer. Five individuals were restaged: four due to lymphovascular space invasion and one to lymphovascular space invasion with G3 histology. There were two cases of FIGO stage IB endometrial cancer, one of papillary serous histology and one of G3. Two patients had advanced cervical cancer and two had early stage ovarian cancer. The median para-aortic lymph node yield was 12 (range 4-21). In three patients, it was necessary to convert the procedure to transperitoneal access due to technical difficulties, one of these requiring laparotomy. The mean surgical time was 323 min (180-410), though this included additional complex procedures.
CONCLUSIONS: Robotic para-aortic retroperitoneal lymphadenectomy is feasible, and offers the advantages of retroperitoneal access.
Written by:
Gorostidi M, Larreategui J, Bernal T, Goiri C, Arrue M, Navarrina P, Lekuona A. Are you the author?
Obstetrics and Gynecology department, Hospital Universitario Donostia - San Sebastián.
Reference: J Minim Invasive Gynecol. 2013 Oct 22. pii: S1553-4650(13)01294-6.
doi: 10.1016/j.jmig.2013.10.004
PubMed Abstract
PMID: 24161886
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