The LANN Technique to Reduce Postoperative Functional Morbidity in Laparoscopic Radical Pelvic Surgery - 21/08/11
⁎, Jens Quakernack, MD , Vito Chiantera, MD † Department of Obstetrics and Gynecology, St Elisabeth-Hospital, Cologne, Germany Correspondence address: Marc Possover, PhD, Department of Gynecology and Obstetrics, St Elisabeth Hospital – Training Center of the ISPS, Werthmannstrasse 1, 50935 Cologne, Germany.Résumé |
Background |
We investigated the feasibility and advantages of introducing Laparoscopic Neuro-Navigation (LANN) into the field of laparoscopic gynecologic radical pelvic surgery.
Study design |
In a prospective pilot study, 261 consecutive patients underwent laparoscopic radical pelvic surgery for cervical cancer or deep infiltrating endometriosis of the parametria. During the procedure, dissection and electrostimulation, and consequently, sparing of the pelvic parasympathetic nerves by transection of the parametria, were performed. Postoperative bladder dysfunction was documented.
Results |
Laparoscopic dissection and electrostimulation of the pelvic splanchnic nerves were feasible in all patients without any complications, and the rate of postoperative bladder dysfunction was considerably reduced, to less than 1% of the patients.
Conclusions |
The parasympathetic nerve-sparing method using the Laparoscopic Neuro-Navigation technique in laparoscopic radical pelvic gynecologic surgery is a feasible and reproducible technique that preserves postoperative bladder function.
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| Competing Interests Declared: None. |
Vol 201 - N° 6
P. 913-917 - décembre 2005 Retour au numéro
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