Antiphon P, Chopin D K, Bellot J, Barthélémy Y, Abbou C C
Service d'Urologie, Hôpital Henri-Mondor, Creteil.
Ann Urol (Paris). 1993;27(1):12-9.
Laparoscopic surgical procedures are being evaluated in urologic diseases including bladder cancer. Patients with apparently localized tumors may have lymph node involvement indicating disseminated disease for which locoregional treatments are inadequate. Laparoscopic lymphadenectomy may be useful for staging, since neither noninvasive procedures nor intraoperative examination of lymph nodes removed during cystectomy are completely reliable. The technique is described in detail. Benefits in bladder cancer patients remain to be determined.
腹腔镜手术程序正在包括膀胱癌在内的泌尿系统疾病中进行评估。患有明显局限性肿瘤的患者可能存在淋巴结受累，这表明疾病已扩散，而局部区域治疗对此并不充分。腹腔镜淋巴结清扫术可能有助于分期，因为无论是非侵入性检查还是膀胱切除术中切除淋巴结的术中检查都不完全可靠。本文详细描述了该技术。其对膀胱癌患者的益处仍有待确定。
