Comparison of lymph node yield in robot-assisted laparoscopic prostatectomy with that in open radical retropubic prostatectomy.
BJU Int
; 107(7): 1136-40, 2011 Apr.
Article
em En
| MEDLINE
| ID: mdl-20825403
ABSTRACT
OBJECTIVE:
⢠To investigate both the feasibility and the adequacy of pelvic lymph node dissection (PLND) during robot-assisted laparoscopic prostatectomy (RALP) by comparing lymph node yields obtained during RALP with those obtained during traditional open retropubic radical prostatectomy (RRP). PATIENTS ANDMETHODS:
⢠We retrospectively reviewed 1047 patients who underwent radical prostatectomy between 2001 and 2009. ⢠In all, 626 patients underwent RALP while 421 patients had traditional open RRP. All patients undergoing bilateral PLND were included in our analysis. ⢠Lymph node yields and lymph node involvement for each surgical approach were calculated and examined. ⢠PLND-related complications were analysed.RESULTS:
⢠Of the 1047 patients, 816 patients underwent bilateral PLND of whom 473 underwent RALP, while 343 underwent RRP. The mean lymph node yields for the RALP cohort (7.1, interquartile range 4-10) was significantly higher (P < 0.001) than for the RRP cohort (6.0, interquartile range 3-8). ⢠The percentage of patients with nodal involvement was 1.1 for RALP and 2.3 for RRP (P= 0.167). ⢠Mean age, preoperative PSA values, and pre- and postoperative Gleason scores were similar between the two cohorts. ⢠PLND-related complications were similar between both cohorts.CONCLUSIONS:
⢠In patients undergoing RALP, PLND is feasible and provides lymph node yields comparable with those of the standard open approach. ⢠PLND should be strongly considered in all radical prostatectomy patients when clinically indicated, regardless of surgical technique.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prostatectomia
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Neoplasias da Próstata
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Robótica
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Laparoscopia
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Excisão de Linfonodo
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Linfonodos
Limite:
Adult
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Aged
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Aged80
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article