Complications and Other Surgical Outcomes Associated with Extended Pelvic Lymphadenectomy in Men with Localized Prostate Cancer
作者： Alberto Briganti , Felix K.-H. Chun , Andrea Salonia , Nazareno Suardi , Andrea Gallina
DOI: 10.1016/J.EURURO.2006.08.015
关键词:
摘要: Abstract Objectives More-extensive pelvic lymph node dissection (PLND) may be associated with a higher rate of complications and longer hospital stay than more limited PLND. Methods Before radical retropubic prostatectomy, PLNDs were performed in 963 patients. Of these, 767 (79.6%) had ≥10 nodes removed examined (extended PLND [ePLND]), while 1–9 (limited [lPLND]) the remaining 196 (20.4%). Limits included external iliac, obturator, internal iliac bifurcation. PLND-related length recorded prospectively analyzed according to extent Results In patients subjected ePLND, overall was 19.8% versus 8.2% those treated lPLND ( p =0.01). Similarly, ePLND translated into (9.9 vs 8.2 d; Conclusions Our data indicate that, even hands experienced urologic surgeons, ePLNDs are complication rates stay. These detriments need taken account when staging benefit is considered.
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