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- W2894808355 abstract "Background: In patients with pancreatic ductal adenocarcinoma (PDAC), metastasis to para-aortic lymph nodes (PALN) implies systemic metastasis. Although non invasive imaging is commonly used to identify metastatic disease, a significant number of patients with PALN involvement undergo exploration by invasive laparotomy. From an oncological point of view, minimally-invasive laparoscopy represents a better approach for PALN sampling. To address this issue, we describe the surgical technique and demonstrate the technical feasibility of laparoscopic PALN sampling performed during staging laparoscopy for localized PDAC. Methods: Laparoscopic PALN sampling during staging laparoscopy was attempted in 31 patients with resectable or borderline PDAC between November 2015 and February 2017. Patients' demographic data and intraoperative, postoperative and pathological characteristics were examined. Surgical technique is presented in detail. Results: The median operative time was 35 (range 18–65) minutes. The median number of PALN analyzed per patient was 2 (range 1–5). Four (13%) of 31 patients had positive PALN in frozen section analysis. Three (9%) patients presented chyle leak and the median hospital stay for patients with positive PALN was 2 (range 1–7) days. Conclusion: Staging laparoscopy is largely admitted in onco-surgical practices, to avoid futile laparotomy. We report the safety and feasibility of laparoscopic PALN sampling and suggest that it should be performed systematically during staging laparoscopy in patients with localized PDAC." @default.
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- W2894808355 date "2018-09-01" @default.
- W2894808355 modified "2023-09-29" @default.
- W2894808355 title "Laparoscopic para-aortic lymph node sampling for pancreatic duct adenocarcicoma – An oncological practice" @default.
- W2894808355 doi "https://doi.org/10.1016/j.hpb.2018.06.2278" @default.
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