LAPAROSCOPIC MARSUPIALIZATION OF LYMPHOCELE AFTER LAPAROSCOPIC LYMPH-NODE DISSECTION

The authors describe what appears to be the first case of transperiton eal marsupialization of a lymphocele following laparoscopic pelvic lym ph node dissection, The 9.7 x 5.6 x 6-cm collection was opened, its ed ges were cauterized, and the internal membranes were resected with an operative time of 90 minutes and a blood loss of less than 30 mL. A mu lticenter trial may be useful to determine whether excision of a porti on of the peritoneum or an inverted-V rather than a linear incision wo uld decrease the incidence of lymphoceles after laparoscopic pelvic ly mphadenectomy.