Robotic Pelvic Lymphadenectomy in Gynecological and Urological Malignancies

被引:0
作者
Eissa, Ahmed [1 ]
Sighinolfi, Maria Chiara [2 ]
Elsodany, Ibrahim [1 ]
Habib, George [1 ]
Puliatti, Stefano [3 ,4 ]
Zoeir, Ahmed [1 ]
Elsherbiny, Ahmed [1 ]
Abo-Elenien, Mohamed [1 ]
Mousa, Ayman [1 ]
Elbendary, Mohamed [1 ]
Radwan, Mohamed [1 ]
Gaia, Giorgia [5 ]
Elbahnasy, Abdel Hamid [1 ]
Micali, Slavatore [3 ]
Rocco, Bernardo [2 ]
机构
[1] Tanta Univ, Fac Med, Urol Dept, Tanta 31527, Egypt
[2] Univ Milan, Urol Dept, ASST St Paolo & Carlo, I-20142 Milan, Italy
[3] Univ Modena & Reggio Emilia, Urol Dept, I-41126 Modena, Italy
[4] ORSI Acad, B-9090 Melle, Belgium
[5] ASST St Paolo & Carlo, Obstet & Gynecol Dept, I-20142 Milan, Italy
关键词
pelvic lymph node dissection; robotic surgery; bladder cancer; cervical cancer; endometrial cancer; prostate cancer; LYMPH-NODE DISSECTION; OPEN RADICAL CYSTECTOMY; STAGE CERVICAL-CANCER; ENDOMETRIAL CANCER; PROSTATE-CANCER; BLADDER-CANCER; SENTINEL NODE; ONCOLOGICAL OUTCOMES; SURGICAL OUTCOMES; INDOCYANINE GREEN;
D O I
10.31083/j.ceog5006123
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives: Pelvic lymphadenectomy is a crucial step in the management of different pelvic cancers for both prognostic and/or therapeutic goals. Robotic surgeries offered numerous benefits over open and/or laparoscopic surgeries such as better visualization, shorter hospital stay, less pain and better cosmoses. The aim of this narrative review is to evaluate the value and outcomes of robotic pelvic lymph node dissection (PLND).Mechanism: The PubMed database was searched using the following keywords "Robotic" AND "pelvic lymph node dissection" to identify all the relevant articles concerned with the role and outcomes of robotic PLND. We included only English articles published between 2010 and 2022. Data from the retrieved articles were then used to formulate this review that highlight the introduction, the outcomes of robotic pelvic lymph node dissection (PLND), and the mapping of sentinel lymph node (SLN) in cervical, endometrial, prostate, and bladder cancers.Findings in Brief: PLND is an integral part of gynecological and urological oncology for its role in tumor staging and planning of further treatment plan. Furthermore, it may play an important therapeutic role in bladder cancer. Robotic approach to PLND is safe and efficient and can be potentially used for cervical, endometrial, prostate, and bladder cancers.Conclusions: Robotic PLND could be an alternative to open and laparoscopic approaches as it may decrease the associated morbidities without compromising the quality of Lymph node dissection (LND).
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