Abstract
In any urologic cancer surgery, lymph node dissection and its processing play a significant role in staging and management of the patients. Accordingly, precise handling of the dissected lymph nodes is important for histopathological work-up. The authors have developed a lymph node plastic tray shaping the abdomen and pelvis in which the dissected lymph nodes are placed in its determined location. This can be applied for any urologic cancer surgery. The research was designed to test the usage of a new histological tray. The objective was to assess how helpful it was for the surgical team and in the pathological process. The newly developed lymph node tray has been applied in 150 urological cancer surgeries and its efficacy and outcome have been evaluated in all these cases by involved doctors and assistants. This new tray simplifies lymph node removing and identification (staging), making it safer and quicker in any uro-oncological surgery. It facilitates the work of the pathologist and the flow of reliable information along the surgeon—pathologist-oncologist team. With usage of the tray, lymph node dissections are more structured by methodical means compared to any of the present methods.
Highlights
Surgical removal of the lymph nodes for biopsy and staging is an essential procedure in most oncological surgeries
Lymph node dissection and precise localization of the excised lymph node are crucial for staging and further management of the patient
Since 1970s, systemic lymph node removal and histological processing has become an important component of surgical strategy [1]
Summary
Surgical removal of the lymph nodes for biopsy and staging is an essential procedure in most oncological surgeries. Lymph node dissection and precise localization of the excised lymph node are crucial for staging and further management of the patient. Since 1970s, systemic lymph node removal and histological processing has become an important component of surgical strategy [1]. Questioned are the issues of lymph node dissection in testicular, bladder, and prostate cancer surgeries [2,3,4]. The lymph nodes that shall be removed and intended for pathological examination must be dissected from the optimal anatomical region and meet the professional recommendations and urological surgical guidelines [3,5]. The therapeutic and /or prognostic value of local and distant lymph node removal is not always straightforward
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