Role of a double docking to improve lymph node dissection: when robotically assisted laparoscopy for para-aortic lymphadenectomy is associated to a pelvic procedure.

摘要: Objective The objective of this study was to demonstrate that robotically assisted laparoscopy for aortic lymph node dissection improved when double docking (DD) the Da Vinci system is used combined surgical procedures [defined by combination a pelvic procedure and para-aortic lymphadenectomy (PAL)]. Methods From February 2007 2013, 41 patients underwent including PAL up left renal vein in 2 cancer centers. We different approaches as follows: single (SD) (transperitoneal surgery) during first period (22 patients) DD second (19 patients). recorded retrospectively count (main criteria), operative time, estimated blood loss, hospital stay, postoperative complications. Results observed statistical difference between SD concerning (5.86 vs 10.89, P Conclusions In our experience laparoscopy, procedure, use seems improve count. Despite longer time compared SD, be good solution combine advantages robotic assistance quality criteria dissection. Synopsis compare techniques realize with procedure. Double histological results docking.