Bilateral Retroperitoneal Lymph Node Dissection (RPLND) Classically, a midline incision is made running from the xiphoid to just below the umbilicus. The peritoneum is entered, and the bowel retracted cephalad. The posterior peritoneum from the right lower quadrant (just inferior…
Introduction In the United States, bladder cancer is the fourth most common type in men and the ninth most common type of cancer in women. When not muscle invasive, bladder cancer can often be treated with transurethral resections and possible…
Video 66.1 Robotic Prostatectomy Introduction Radical prostatectomy is the “gold standard” in the surgical treatment of localized prostate cancer. Current evidence confirms a survival advantage over the absence of treatment in men with prostate cancer. Traditionally, radical prostatectomy was performed…
Introduction Renal cell carcinoma (RCC) represents the most frequent cause of renal neoplasm and is the third most common malignancy in men and women. The widespread use of abdominal imaging has significantly increased the diagnosis of renal masses. Current guidelines…
Introduction Pelvic floor disorders are a group of conditions that affect pelvic floor function. The pelvic floor includes the ligaments, muscles, nerves, and connective tissue that support the pelvic organs, specifically the bladder, vagina, uterus, bowel, and rectum. Pelvic floor…
Introduction The ovary is a complex organ from both a histologic and a functional standpoint. As a result, numerous tumors, benign and malignant, can arise in the adnexa. The surgical approach is often determined by the pathology as well as…
Introduction Hysterectomy remains one of the most common surgical procedures in women and is performed for benign and malignant conditions. The surgical approach varies by pathology, anatomic variations in disease and patients, and the skill set of the surgeon. In…
Video 61.1 Retroperitoneal Sarcoma You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Introduction Inguinal lymph node dissection (ILND) is performed for therapeutic and staging purposes in neoplasms such as melanoma, penile cancer, and Merkel cell carcinoma and less commonly for sarcomas, squamous cell carcinoma, and vulvar, anal, and rectal cancers. Elective ILND…
Introduction British surgeon Sir Berkeley Moynihan stated, “Surgery of cancer is not the surgery of the organs; it is the surgery of the lymphatic system.” This statement is especially true of breast cancer and melanoma, in which specific operations are…