Laparoscopic ultrasonography-assisted retroperitoneal lymph node sampling in patients evaluated for stomach cancer recurrence

Honsoul Kim, Woo Jin Hyung, Joon Seok Lim, Mi Suk Park, Jin Young Choi, Yong Eun Chung, Myeong Jin Kim, Ki Whang Kim

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3 Citations (Scopus)

Abstract

Objective. The precise localization of target lymph nodes during laparoscopic biopsy can often be technically challenging. The purpose of this series was to report 2 patients who successfully underwent laparoscopic para-aortic lymph node sampling with the assistance of laparoscopic ultrasonography (LUS). Methods. We describe 2 patients previously treated for gastric cancer who later had suspicious retroperitoneal lymphadenopathy detected by computed tomography. They received LUS-assisted lymph node biopsies for histologic evaluation. Results. Laparoscopic ultrasonography precisely localized the target lymph nodes, which measured 1.4 and 1.5 cm, respectively, in both patients. A transperitoneal laparoscopic approach and target lymph node sampling were successfully performed. No procedure-related technical difficulties or immediate complications occurred. The 2 patients were histologically proven to have nodal tumor recurrence and tuberculous lymphadenopathy, respectively. Conclusions. Precise localization of a small lymph node located deep in the abdomen can be readily performed by intraoperative LUS.

Original languageEnglish
Pages (from-to)1229-1233
Number of pages5
JournalJournal of Ultrasound in Medicine
Volume27
Issue number8
DOIs
Publication statusPublished - 2008 Aug

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All Science Journal Classification (ASJC) codes

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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