Extraperitoneal Para-aortic Lymphadenectomy by Robot-Assisted Laparoscopy in Gynecologic Oncology: Preliminary Experience and Advantages and Limitations

摘要: Background We are reporting the preliminary multicentric experience in extraperitoneal para-aortic lymphadenectomy by robot-assisted laparoscopy (EPLRL) gynecologic oncology. Materials and Methods Two teams from cancer centers performed EPLRL 37 patients with cancer. Results There were 30 cervical cancer, 6 endometrial 1 adnexal The skin-to-skin operative time, mean lymph node count, estimated blood loss 221 (±61) minutes, 18.7 (±11), 105 (±134) mL. was no conversion to laparotomy, one laparoscopic for hemorrhage lateral inferior mesenteric artery, use of hemostatic matrix an injury left gonadal artery (2 nontransfused patients). proportion who reported postoperative complications 32.5% (12/37): 7 lymphocysts computed tomographic scan drainage (19%), 3 leg dysesthesia (left genitofemoral nerve), lymphedema, aortic hematoma not requiring a transfusion or return operating room. Conclusion technique is feasible efficient but high rate symptomatic lymphocyst. A marsupialization could be useful decrease risk