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From the Department of Obstetrics and Gynecology. University of Cincinnati College of Medicine. Cincinnati. Ohio.
A surgical technique for para-aortic lymph node evaluation for metastatic tumor by the extraperitoneal approach is described. The procedure is devised to avoid gastrointestinal complications frequently found after transperitoncal evaluation of the para-aortic area followed by extended field irradiation. The surgical procedure was performed in 20 patients. Nine patients treated with 6000 rads extended field irradiation remained without gastrointestinal complications after 3 to 16 months of follow-up.
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