Van Arsdalen K N, Broderick G A, Malkowicz S B, Wein A J
Division of Urology, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Tech Urol. 1996 Summer;2(2):93-8.
Laparoscopic pelvic lymphadenectomy is a satisfactory alternative to open lymphadenectomy for staging prostate cancer. Specific information obtained by endorectal coil magnetic resonance imaging may be used to predict the most likely side for lymph node metastases. These criteria may be used to define side selection for performing a unilateral laparoscopic lymphadenectomy without the risk of missing contralateral nodes that may be positive. A unilateral dissection when feasible reduces operative time and morbidity.
腹腔镜盆腔淋巴结清扫术是前列腺癌分期时开放性淋巴结清扫术的一种令人满意的替代方法。经直肠线圈磁共振成像获得的特定信息可用于预测淋巴结转移最可能发生的一侧。这些标准可用于确定进行单侧腹腔镜淋巴结清扫术的侧别选择，而不会有遗漏可能为阳性的对侧淋巴结的风险。可行时进行单侧清扫可缩短手术时间并降低发病率。
