![]() Trocar placement, set up, equipment and technique are described in the online supplementary materials and online supplementary figure 1. The procedure is difficult and requires an experienced team. In conclusion, robotic lymph node debulking is feasible in selected medically compromised patients. There are two lymph ducts in the bodythe right lymphatic duct and the thoracic duct. A lymph duct is a great lymphatic vessel that empties lymph into one of the subclavian veins. The lymphatic trunk is formed by the confluence of many small efferent lymphatic vessels. At the last contact, 19 months after surgery, the patient had no evidence of recurrence with two, biopsy negative, lung lesions under observation. Afferent vessels bring lymph-to-lymph nodes, and efferents bring lymph away. Lymph nodes produce protein particles and macrophages that work together to capture and break down viruses and other immune invaders. Lymph nodes are also located in the neck, under the chin and in the armpits. The patient recovered well and completed six cycles of chemotherapy and adjuvant radiation for stage IIIC2 uterine carcinosarcoma. The lymph nodes located in the pelvic area tend to swell in response to viruses and infections that are located in or around the groin. The prolonged hospital stay was related to right leg swelling and weakness. The following are the most common causes of swollen groin lymph nodes in women: vaginal yeast infection, which is caused by an overgrowth of the fungi candida bacterial vaginosis, a common infection that occurs when too much of a certain kind of bacteria alters your vaginal pH. She was in the operating room for 10 hours and was discharged home on postoperative day 8. The patient received 5 units of packed red blood cells and developed deep venous thrombosis, likely related to narrowing of the external iliac vein from intraoperative repair. Gross complete cytoreduction was achieved. Pathology demonstrated metastasis in 22 out of 31 pelvic lymph nodes and in 20 out of 25 para-aortic lymph nodes. Pelvic lymph node debulking on the right side took 2 hours and 9 min. (2) Pelvic lymph node dissection (PLND) is recommended to be carried out during this surgical treatment for clinically localized patients with prostate cancer. Pictures and diagrams are used to enhance the tutorial. Elements of our technique for debulking as well as hemostasis control are demonstrated. ![]() 3 This video demonstrates robotic pelvic lymph node debulking performed on a 78-year-old frail patient with a preoperative diagnosis of T2 uterine cancer. In patients with uterine carcinoma, optimal cytoreductive surgery (maximum residual tumor 40 kg/m 2.
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