Transperitoneal laparoscopic lymph node dissection on an experimental sheep model [Deneysel cerrahi koyun modelinde laparoskopik transperitoneal pelvik lenf bezi diseksiyonu]
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To perform laparoscopy and laparoscopic transperitoneal lymph node dissection by creating an experimental sheep model. And also, to examine the laparoscopic pelvic lymph node dissection by measuring the operation duration and number of dissected lymph nodes. Material and Methods: The study was performed in the operating room of Experimental Surgery Department of Ege University. The main procedure was pelvic lymphadenectomy. Right pelvic lymph nodes were dissected by an experienced operator. Left pelvic lymph nodes were dissected by a resident who does not have any experience on lymph node dissection. Operation durations and the number of dissected lymph nodes were noted. Results: Duration to complete the dissection of pelvic lymph nodes on right side by the operator were 40, 45, 40, 30, 30, and 20 minutes for the first six sheep respectively . Sheep number seven were lost because of the intra-peritoneal anesthesia complication. And also duration to complete the dissection of pelvic lymph nodes on left side by the resident were 60 minutes for the sheep number one, and 30, 30 and 20 minutes for the sheep number three, four and five, respectively, and 30 minutes for sheep number seven. There was a pelvic venous damage at the time of dissection on sheep number two and were corrected by laparotomy. Sheep number six were also lost after the complication of anesthesia. Number of lymph nodes on right side which were dissected by the operator was 0, 3, 3, 3, 4 and 4 for the first six sheep respectively. Lymph node dissection were not performed at sheep number seven because of the complication of anesthesia. No lymph nodes could have been dissected from sheep number one and three. Number of lymph nodes on left side which were dissected by the resident was 3, 3 and 4 at sheep four, five and seven, respectively. Lymph node dissection were not performed at sheep number two and six because of the complications. Conclusion: Laparoscopic procedure durations of the experienced and inexperienced surgeons decreased with elevating procedure number, whereas the number of dissected lymph nodes increased. Experimental sheep model seems to be a useful in laparoscopic pelvic lymphadenectomy education and can reduce the complication rate of laparoscopy on human. Copyright © 2011 by Türkiye Klinikleri.
Açıklama
Anahtar Kelimeler
Education, Laparoscopy, Lymph node excision, Sheep
Kaynak
Turkiye Klinikleri Jinekoloji Obstetrik
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
21
Sayı
2
