Back to Search
Start Over
Single-Port vs. Conventional Multi-Port Laparoscopic Lymph Node Biopsy
- Source :
- JSLS : Journal of the Society of Laparoscopic & Robotic Surgeons
- Publication Year :
- 2020
- Publisher :
- The Society of Laparoscopic and Robotic Surgeons, 2020.
-
Abstract
- Background and objectives The purpose of the investigation was to compare clinical results and diagnostic accuracy for conventional multiport laparoscopic lymph node biopsy (MPLB) and single-port laparoscopic lymph node biopsy (SPLB) operations at a single institution. Methods A set of 20 SPLB patients operated on from October 2016 to May 2019 were compared to an historical series of 35 MPLB patients. Primary endpoints were the time of surgery, estimated blood loss, surgical conversion, length of stay and morbidity. The secondary endpoint was the diagnostic accuracy of the technique. Results SPLB was completed laparoscopically in all cases. Two MPLB patients (5.7%) experienced a surgical conversion due to intraoperative difficulties. Duration of surgery was similar in SPLB and MPLB groups respectively (84 ± 31.7 min vs. 81.1 ± 22.2; P = .455). A shorter duration of hospital stay was shown for patients operated on by SPLB compared to the MPLB group (1.7 ± 0.9 days vs. 2.1 ± 1.2 days; P = .133). The postoperative course was uneventful in both groups. In 95% of the SPLB and 97.1% of the MPLB cases respectively, LLB achieved the necessary information for the diagnosis. Conclusion SPLB has shown good procedural and postoperative outcomes as well as a high diagnostic yield, comparable to traditional MPLB. Therefore, our results show that this approach is safe and effective and can be an equally valid option to MPLB to obtain a diagnosis or to follow the progression of a lymphoproliferative disease. Further studies are necessary to support these results before its widespread adoption.
- Subjects :
- Male
050101 languages & linguistics
medicine.medical_specialty
Lymphoma
Biopsy
Lymph node biopsy
Diagnostic accuracy
050105 experimental psychology
Port (medical)
Blood loss
Humans
Medicine
Case Series
0501 psychology and cognitive sciences
Laparoscopy
Abdominal biopsy
Lymph node
Multi port
medicine.diagnostic_test
business.industry
05 social sciences
Reproducibility of Results
Equipment Design
Middle Aged
Laparoscopes
Surgery
Treatment Outcome
medicine.anatomical_structure
Abdominal Neoplasms
Lymphatic Metastasis
Female
Lymph Nodes
Lymphoproliferative disease
business
Subjects
Details
- ISSN :
- 19383797 and 10868089
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- JSLS : Journal of the Society of Laparoscopic & Robotic Surgeons
- Accession number :
- edsair.doi.dedup.....076bb24b2f521e2661a89cf8e39e2979