What to expect during the surgery?
Para-aortic lymph node dissection is a complex surgical procedure and requires special surgical expertise to perform the procedure, thereby minimizing the complications.
The surgery is performed under general anesthesia. Laparoscopic surgery may take longer than open surgery. But if the procedure is done with a laparoscope rather than by open abdominal incision, recovery time may be shorter.
The paraaortic lymph node dissection separates all of the lymphatic tissue from the great vessels; it is left attached to the peritoneum above it. Once this is completed, the lymphatic tissue is separated from the intact posterior peritoneum and duodenum.
It begins over the right common iliac artery from the mid-level caudad to cephalad direction. Precaval and preaortic lymph nodes are dissected to the level of left renal vein.