1,972 results match your criteria: "Laparoscopic Pelvic Lymph Node Dissection"

Inguinal-iliac-obturator lymph node dissection is essential in the treatment of patients with cutaneous melanoma exhibiting the clinical or radiological involvement of pelvic lymph nodes. The open procedure is associated with elevated mortality rates. Numerous minimally invasive approaches have been suggested to mitigate the impact of this surgery on the patient's quality of life.

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Background/objectives: Extended pelvic lymph node dissection is a crucial surgical technique for managing intermediate to high-risk prostate cancer. Accurately predicting lymph node metastasis before surgery can minimize unnecessary lymph node dissections and their associated complications. This study assessed the efficacy of various machine learning models for predicting lymph node metastasis in a cohort of Japanese patients who underwent robot-assisted laparoscopic radical prostatectomy.

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Objective: This study aimed to compare the surgical outcomes in patients with endometrial cancer who underwent either single-port laparoscopic hysterectomy (SPLH) or multi-port laparoscopic hysterectomy (MPLH).

Methods: We conducted a systematic literature search from the earliest records available up to May 2023. The databases searched included PubMed, Embase, ClinicalTrials.

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Objective: To compare surgical parameters and short-term outcomes between open radical cystectomy (ORC) and robotic radical cystectomy with total intracorporeal urinary diversion (icRARC).

Methods: Among the study period, 133 patients who underwent ORC and pelvic node dissection for bladder cancer (group 1) were matched and compared to 61 patients who underwent icRARC during the same period (group 2). The groups were matched 1:1 according to their propensity scores adjusted on their baseline demographics and disease characteristics.

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Background: Laparoscopic rectal surgery is often technically difficult. The Endoscopic Surgical Skill Qualification System (ESSQS) was established in Japan as an objective measure of skill for laparoscopic surgeons. However, the advantages of the ESSQS qualification for laparoscopic rectal surgery have been limited.

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Article Synopsis
  • The study investigates various surgical methods (laparoscopic, robotic, etc.) for treating cervical cancer and assesses the use of uterine manipulators during radical hysterectomy.
  • Data from 848 patients treated between 2009 and 2019 were analyzed, focusing on demographic, clinical, and postoperative outcomes.
  • Results show no significant differences in five-year survival rates across surgical methods or between those who used uterine manipulators and those who did not, indicating similar safety and efficacy.
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Background: There have been few reports of a totally extraperitoneal approach for laparoscopic lateral lymph node dissection (LLND) for patients with metachronous lateral pelvic lymph node metastases following surgery for rectal cancer. Therefore, this study reports the short-term outcomes of LLND via an extraperitoneal approach.

Methods: A total of 10 patients underwent LLND through a laparoscopic extraperitoneal approach in our hospital since October 2018.

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This study aimed to share preliminary experiences of single-incision plus two ports laparoscopic proximal gastrectomy with right-sided overlap and single-flap valvuloplasty (ROSF). Following the 6th edition of the Japanese Gastric Cancer Treatment Guidelines, proximal gastrectomy with lymphadenectomy was performed. Using a single-port approach, the esophagus was transected at least 2 cm above the tumor's upper margin with linear staplers.

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Urachal adenocarcinoma with cervical invasion misdiagnosed as primary cervical adenocarcinoma: a case report and literature review.

Front Oncol

September 2024

Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

Article Synopsis
  • * This case study details a female patient misdiagnosed with cervical adenocarcinoma, who eventually underwent multiple surgeries and chemotherapy after being correctly identified with urachal adenocarcinoma that spread to the bladder and vagina.
  • * The findings emphasize the need for thorough histopathological evaluation for accurate diagnosis and suggest that anterior pelvic exenteration may be an effective treatment for local recurrences of UrC, although more research is needed.
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  • The study aimed to assess the frequency of lower extremity lymphedema in patients with early-stage endometrial cancer who had laparoscopic surgery using the sentinel lymph node (SLN) approach.
  • A total of 239 patients were surveyed, revealing that those who underwent hysterectomy with SLN had a significantly lower lymphedema rate (21.4%) compared to those who had systematic lymphadenectomy (44.6%).
  • The results support the use of SLN mapping in laparoscopic surgery for endometrial cancer, as it reduces the risk of lymphatic complications while maintaining diagnostic effectiveness.
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Long-term outcomes of sentinel lymph node navigation surgery for early-stage cervical cancer.

Int J Clin Oncol

November 2024

Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan.

Background: Sentinel lymph node navigation surgery, which identifies the sentinel lymph node in early cervical cancers and omits systemic pelvic lymphadenectomy in cases where no lymph node metastasis is present, has recently gained attention. However, there are few reports on lymph node recurrence and the long-term outcomes of cervical cancer surgery performed using sentinel lymph node navigation surgery. In this study, we aimed to evaluate the long-term outcomes of sentinel node navigation surgery for early-stage cervical cancer.

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Lateral pelvic lymph nodes dissection of rectal neuroendocrine neoplasms: A prospective case-series and literature review.

Surgery

November 2024

Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing, China. Electronic address:

Background: Rectal neuroendocrine neoplasms are relatively rare. Patients with rectal neuroendocrine neoplasms undergoing radical surgery have a higher rate of lymph node metastases. Robust evidence on the status of lateral pelvic lymph node metastases and the role of lateral pelvic lymph node dissection in those patients is lacking.

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Article Synopsis
  • Bladder urothelial carcinoma (UC) is challenging to diagnose, especially in cases of complete exophytic tumors, making early detection and aggressive treatment crucial.
  • An 84-year-old man presented with symptoms like dysuria and significant weight loss, leading to the discovery of a high-grade muscle-invasive UC after imaging and partial cystectomy.
  • Despite improvement in his condition post-surgery, the patient later passed away from an unrelated issue, highlighting the need for regular imaging in high-risk individuals to catch bladder tumors early.
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Article Synopsis
  • * Conducted on 50 LAPC patients at Tongji Hospital, both imaging techniques were analyzed against postoperative pathological findings to evaluate their diagnostic performance.
  • * Results showed that Ga-PSMA PET/CT had higher sensitivity and predictive values compared to mpMRI for detecting PLNM, emphasizing its potential superiority in this context.
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  • A study was conducted to compare outcomes of standard pelvic lymph node dissection (sPLND) and extended pelvic lymph node dissection (ePLND) in patients undergoing robot-assisted radical cystectomy (RARC) at Nanjing Drum Hospital from 2016 to 2020.
  • After matching 80 patient pairs, results showed that ePLND removed more lymph nodes (16 vs. 13) but had similar perioperative complications compared to sPLND.
  • ePLND significantly improved 5-year recurrence-free (RFS) and overall survival (OS) rates, especially in patients with advanced T3 disease and lymph node metastasis, indicating it may be the better option for patients with more severe cancer.
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  • Cervical cancer ranks as the fourth most common cancer in women, and early treatment typically involves radical hysterectomy; this study explores a new laparoscopic method to see if it can match open surgery outcomes.
  • A phase-III trial will randomly assign 740 participants to receive either laparoscopic or traditional abdominal radical hysterectomy, tracking various health metrics over a 4.5 year period.
  • The study aims to evaluate disease-free survival and secondary factors like treatment-related complications, costs, and overall quality of life for patients undergoing these surgical methods.
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  • - The study reviews the "pentafecta" criteria for reporting outcomes following radical cystectomy (RC), originally encompassing five specific health measures; it has since been modified to focus more on complications and cancer recurrence.
  • - A total of 12 studies involving nearly 5,000 patients were analyzed, revealing that only 34% achieved all pentafecta goals, with major complications and insufficient lymph node removal being significant barriers.
  • - The research indicates that achieving pentafecta is linked to better long-term cancer outcomes and quality of life, but limitations include the retrospective nature of studies and generally short follow-up periods.
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  • A 48-year-old man with blood in his urine (hematuria) was diagnosed with advanced mucinous bladder adenocarcinoma after imaging and a follow-up evaluation revealed prostate and seminal vesicle invasion and enlarged lymph nodes.
  • He underwent robotic-assisted surgery for total bladder removal along with pelvic lymph node dissection, followed by a three-month course of chemotherapy using oxaliplatin and capecitabine (XELOX) due to his high risk of cancer recurrence.
  • The patient is currently 8 months post-surgery and shows no signs of cancer progression, highlighting the rarity of mucinous adenocarcinoma of the bladder and the lack of established treatment protocols.
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Article Synopsis
  • - Arterio-ureteral fistulas (AUFs) are rare but serious complications that require quick medical attention, often arising from surgeries like radical cystectomy.
  • - A specific case involved a patient who developed an AUF after robotic surgery for bladder cancer, leading to severe internal bleeding due to urine leaks and infection.
  • - The situation was successfully treated using a vascular procedure that involved placing an arterial stent graft to manage the fistula.
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  • The study aimed to assess how effective vascular clips are at sealing lymphatics and preventing pelvic lymphoceles after laparoscopic surgery in patients with gynecological cancers.
  • It involved a retrospective analysis of 217 patients, split into two groups: one using vascular clips and the other employing electrothermal instruments for sealing.
  • Results showed that patients in the vascular clips group had significantly fewer lymphoceles and symptomatic lymphoceles compared to the electrothermal group, highlighting vascular clips as a potentially superior method (p < .001).
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  • Vulvar intestinal adenocarcinoma is a rare type of cancer, and the best outcome is linked to complete removal of the tumor, though treatments can be unclear due to its rarity.
  • A case study describes a 63-year-old woman diagnosed with a primary vulvar tumor that was thought to invade the rectum and spread to lymph nodes.
  • The medical team successfully performed a laparoscopic procedure that combined pelvic exenteration with radical vulvectomy and lymph node removal, showing that minimally invasive techniques can be effective when the cancer is operable.
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  • A study examines the shift from traditional laparoscopy to robotic surgery for treating endometrial cancer and evaluates the impact of a training curriculum on surgical outcomes.
  • The observational cohort study involved women with primary endometrial cancer undergoing robot-assisted laparoscopic procedures between 2015 and 2022, focusing on various surgical metrics and survival rates.
  • Results indicated that while training cases had a lower BMI, the proficiency-based training did not significantly affect intra-operative and post-operative complications or survival outcomes compared to non-training cases.
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  • This study investigates the effectiveness of MRI navigation surgery, including lateral pelvic lymph node dissection (LLND), after chemoradiotherapy for patients with middle to low rectal cancer.
  • The analysis included 43 patients who underwent laparoscopic radical surgery post-CRT, showing a 100% local pelvic recurrence-free survival rate compared to 85.1% in a previous patient group not using MRI navigation.
  • The findings suggest that using MRI guidance can enhance local control and maintain better functional outcomes for rectal cancer patients post-treatment.
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