The incidence and sequela of lymphocele formation after robot-assisted extended pelvic lymph node dissection

BJU International
Mehmet Selcuk KeskinAli Rıza Kural

Abstract

To reveal an accurate incidence of lymphocele formation and its sequela following robot-assisted radical prostatectomy and extended lymph node dissection (eLND) in a contemporary prostate cancer cohort. Consecutive patients who underwent radical prostatectomy and eLND with robot-assistance and had a minimum follow-up of 3 months were included. All surgeries were performed by one surgeon through a transperitoneal approach, with patients uniformly receiving low molecular weight heparin. Patients were followed with serial ultrasound imagings based on a predetermined schedule for lymphocele surveillance. Incidence and sequela of lymphoceles were retrospectively assessed. A total of 521 patients were analyzed. Follow-up after surgery was 33.5 ± 22.8 months. Lymphocele developed in 9% and became symptomatic in 2.5%. All except one were detected on 1(st) month imaging; however, 76% regressed at 3-month ultrasound. If lymphocele persisted at 3 months, 64% developed symptoms associated with infection and required drainage. Having diabetes mellitus was significantly associated with a higher risk of developing infected lymphocele. Other symptoms related to lymphocele were rare. Comparisons of patient characteristics between patients with ...Continue Reading

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Citations

Jan 19, 2018·Therapeutic Advances in Urology·Monica KaminskiSteven Siegel
Aug 28, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K OchiaiS Ishihara
Apr 12, 2017·Case Reports in Urology·Tomoki TaniguchiKenichiro Ishida
Feb 8, 2019·Scandinavian Journal of Urology·Anna Wallerstedt LantzEva Haglind
Aug 20, 2019·Journal of Robotic Surgery·K R Seetharam BhatVipul R Patel
Feb 27, 2018·BJU International·Salma GhanemBen Challacombe
May 26, 2020·Deutsches Ärzteblatt International·Johannes BründlMatthias May
Dec 11, 2020·Indian Journal of Surgical Oncology·Kulthe Ramesh Seetharam BhatR Anil Kumar
Aug 8, 2021·Journal of Vascular and Interventional Radiology : JVIR·Amgad M MoussaErnesto Santos

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