Retroperitoneal Lymph Node Dissection

During laparoscopic retroperitoneal lymph-node dissection, fibrin sealant can be applied to the lymph-node bed, in addition to the routine use of laparoscopic clips. However, lymphatic leaks may occur despite proper attempts to ligate all major lymphatic channels. Although no randomized, prospective trials evaluating the benefit of fibrin glue in this setting have been reported, fibrin glue has been used selectively during lymph-node dissections performed by European teams (40) and to aid the treatment of chylous ascites occurring after a donor nephrectomy (41).

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