Pelvic lymph node dissection – PLND

What is Pelvic Lymphadenopathy or Pelvic lymph node dissection (PLND)?

 but it was most commonly used in particularly in the bladder cancer and prostate cancer, others may include like penile and urethral cancer.

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Lymphadenectomy was traditionally been done by using large cuts or incisions when doing laparotomy. PLND has an extra role in the management of other pelvic malignancies and gynecologic cancers. Pelvic lymphadenectomy only has been found to be satisfactory treatment for prostate cancer there are many cases where patients are prolonged their survival after undergoing lymphadenectomy.

Open Pelvic Lymphadenectomy(PLND):

  • A cut or incision was made in the skin and from the subcutaneous layers in the area, where the lymph nodes need to be removed.

  • These lymph nodes were identified and afterwards isolated. Then they were carefully taken out from the surrounding tissues (that is from nerves, muscles and blood vessels).

  • The cut or incision was stitched to close with a drain left in same place to remove surplus fluid from the surgical site.

Laparoscopic Pelvic Lymphadenectomy( PLND):

Laparoscopy can be used as the less invasive procedure for removing lymph nodes. The laparoscope was a thin, lighted tube that will be inserted into the abdominal cavity by making a small cut or incision. Images were taken by the laparoscope can be seen on the video monitor which was connected to the scope. Some lymph nodes, like the pelvic and aortic lymph nodes, can be removed by using this technology.

  • A laparoscope will be introduced into patient’s tummy by tiny incisions or cuts.

  • The lymph nodes will be observed and identified on the camera via monitor. The node(s) will be safely divided from any connecting tissue and carefully remove for further analysis.

  • During this procedure patient’s tummy will be filled with the gas which enables the procedure to be carried out. This can cause some slight discomfort following the procedure.