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- W4230361925 abstract "Pelvic lymphadenectomy is the most accurate method of diagnosing lymph node involvement in patients with malignancies of the bladder and prostate. Current imaging techniques are not reliable for identifying micrometastatic disease. Pelvic lymphadenectomy is both diagnostic and therapeutic and a survival benefit has been demonstrated in patients with prostate cancer and bladder cancer who undergo an extended lymph node dissection. The dissection template varies, but for prostate cancer staging, the standard dissection includes the nodes of the obturator fossa. In staging bladder cancer, a more extended resection is required and includes tissue up to and over the common iliac vessels. The boundaries of this extended resection include the removal of: tissue overlying the external iliac distally to the circumflex iliac vein and node of Cloquet; the obturator fossa, tissue down to and surrounding the obturator nerve, and out laterally to the genitofemoral nerve and pelvic sidewall; tissue overlying the internal iliac and presacral regions; and tissue surrounding the common iliac vessels to where the ureter crosses the common iliac. Complications include injuries to major vessels, obturator nerve, and bowel. Postoperative complications can include deep vein thrombosis, pelvic hematoma, and lymphocele." @default.
- W4230361925 created "2022-05-11" @default.
- W4230361925 creator A5020520478 @default.
- W4230361925 creator A5033345141 @default.
- W4230361925 date "2018-12-30" @default.
- W4230361925 modified "2023-10-14" @default.
- W4230361925 title "Pelvic Lymphadenectomy" @default.
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- W4230361925 doi "https://doi.org/10.1002/9781119245193.ch89" @default.
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