Robotic-assisted para-aortic lymphadenectomy: Technique and indications in gynecological oncology.

Female Humans Robotic Surgical Procedures / methods Lymph Node Excision / methods Genital Neoplasms, Female / surgery Gynecologic Surgical Procedures / methods Minimally Invasive Surgical Procedures Laparoscopy / methods
Gynecology Lymphadenectomy Minimally-invasive surgery Oncology Robotic surgery

Journal

Best practice & research. Clinical obstetrics & gynaecology
ISSN: 1532-1932
Titre abrégé: Best Pract Res Clin Obstet Gynaecol
Pays: Netherlands
ID NLM: 101121582

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 23 03 2023
revised: 21 06 2023
accepted: 27 07 2023
medline: 11 12 2023
pubmed: 8 9 2023
entrez: 7 9 2023
Statut: ppublish

Résumé

The benefits of minimally-invasive surgeries have been documented, and they have been established as the preferred approach for gynecological surgeries. With the development of robotic surgery, many highly complex surgeries can benefit from these advantages. Due to the complexity of aortocaval lymphadenectomy, surgical technique protocols have been described to reduce risks by maximizing benefits. We describe the technique using five ports (4 robotic arms and an assistant) to work the upper abdominal field, and different instruments recommended in each of their positions to reduce errors and optimize surgical time. After the "step by step" description, we summarize indications of aortocaval lymphadenectomy for every gynecological cancer in different stages.

Identifiants

DOI: 10.1016/j.bpobgyn.2023.102401 PMID: 37678062
pubmed: 37678062
pii: S1521-6934(23)00109-8
doi: 10.1016/j.bpobgyn.2023.102401
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

102401

Informations de copyright

Copyright © 2023 Elsevier Ltd. All rights reserved.

Auteurs

Jordi Ponce (J)

Gynecologic Department, University Hospital of Bellvitge (IDIBELL), University of Barcelona, Spain. Electronic address: jponce@bellvitgehospital.cat.

Sergi Fernández (S)

Gynecologic Department, University Hospital of Bellvitge (IDIBELL), University of Barcelona, Spain. Electronic address: sfernandez@bellvitgehospital.cat.

Marc Barahona (M)

Gynecologic Department, University Hospital of Bellvitge (IDIBELL), University of Barcelona, Spain. Electronic address: mbarahona@bellvitgehospital.cat.

José Manuel Martínez (JM)

Gynecologic Department, University Hospital of Bellvitge (IDIBELL), University of Barcelona, Spain. Electronic address: jmartinezgar@bellvitgehospital.cat.

Carlos Ortega (C)

Gynecologic Department, University Hospital of Bellvitge (IDIBELL), University of Barcelona, Spain. Electronic address: cortega@bellvitgehospital.cat.

Lola Martí (L)

Gynecologic Department, University Hospital of Bellvitge (IDIBELL), University of Barcelona, Spain. Electronic address: lmarti@bellvitgehospital.cat.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Robotic-assisted para-aortic lymphadenectomy:...
questionsmedicales.fr › Technologie, industrie et agriculture › Technologie › Automatisation › Interventions chirurgicales robotisées › Robotic-assisted para-aortic lymphadenectomy:...
questionsmedicales.fr › Procédures de chirurgie opératoire › Lymphadénectomie › Robotic-assisted para-aortic lymphadenectomy:...
questionsmedicales.fr › Maladies urogénitales › Tumeurs de l'appareil urogénital › Tumeurs de l'appareil génital féminin › Robotic-assisted para-aortic lymphadenectomy:...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie urogénitale › Procédures de chirurgie gynécologique › Robotic-assisted para-aortic lymphadenectomy:...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Robotic-assisted para-aortic lymphadenectomy:...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Endoscopie › Laparoscopie › Robotic-assisted para-aortic lymphadenectomy:...