Radical pelvic lymphadenectomy in gynaecological malignity,comparison of retroperitoneal and primary peritoneal access
2004
Abstract
Surgical removal of regional lymphoid tissue is a part of the diagnostics or radical treatment of some tumors in the area of the pelvis minor. For minor surgery where only the size of the malignant disease is specified, laparoscopic lymphadenectomy (prostate adenocarcinoma) is used as an operation method.
In cases where pelvis lymphadenectomy is a part of major surgery it is necessary to prefer open access with examination of nerve tissue (carcinoma of urinary bladder, endometrium, ovary). Radical pelvis lymphadenectomy (RPLA) nerve examination can be, in the case of gynecologic malignity, performed as primary retroperitoneal surgery or it can follow a hysterectomy and then continue transperitoneally.