Published in:
01-07-2020 | Video Forum
Teaching pelvic lymph node dissection using origami, planes and boundaries
Authors:
James Chi-Yong Ngu, Li-Jen Kuo, Nan-Zun Teo, Sulaiman Bin Yusof
Published in:
Techniques in Coloproctology
|
Issue 7/2020
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Excerpt
While the indications and benefits of pelvic lymph node dissection (PLND) in rectal cancer surgery remain controversial, there is little debate about the technical demands of the procedure [
1‐
3]. The challenge of PLND arises from the (1) unfamiliarity of surgeons with the anatomy and procedure, (2) suboptimal dissection of planes often-times, especially in patients with gross lymphovascular disease and in those who have completed neoadjuvant radiotherapy, and (3) issues with operative field visualization and operator ergonomics. Our aim was to facilitate the understanding of the anatomy and planes of dissection in surgeons seeking to perform PLND. …
