MP69-02 COMPARISON OF TWO TEMPLATES OF LYMPHADENECTOMY IN PATIENTS WITH HIGH RISK PROSTATE CANCER

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy V1 Apr 2016MP69-02 COMPARISON OF TWO TEMPLATES OF LYMPHADENECTOMY IN PATIENTS WITH HIGH RISK PROSTATE CANCER Roberto Sanseverino, Tommaso Realfonso, Olivier Intilla, Umberto Di Mauro, and Giorgio Napodano Roberto SanseverinoRoberto Sanseverino More articles by this author , Tommaso RealfonsoTommaso Realfonso More articles by this author , Olivier IntillaOlivier Intilla More articles by this author , Umberto Di MauroUmberto Di Mauro More articles by this author , and Giorgio NapodanoGiorgio Napodano More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1380AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES High risk prostate cancer treatment considers an extended lymphadenectomy. We have compared two templates of pelvic lymphadenectomy in high risk patients undergone an extraperitoneal or transperitoneal laparoscopic radical prostatectomy. METHODS Two consecutive series of patients affected by high risk prostate cancer underwent laparoscopic radical prostatectomy. In group 1 (101 pts), the procedure was realized by a preperitoneal access with an extended lymphadenectomy including external iliac and obturator nodes; in group 2 (25 pts), access was transperitoneal with a broader lymphadenectomy consisting of common iliac, external iliac, hypogastric and obturator nodes. We have compared perioperative outcomes in terms of number of nodes removed, positive nodes, complications in the two groups of patients. Statistical analysis has been realized using SPSS 16 RESULTS Data on 126 patients were analyzed. Baseline characteristics are reported in table 1. Preoperative data were balanced between two groups of patients except for biopsy Gleason score. Postoperative outcomes are listed in table 2: Group 2 patients presented worse pathological stage, longer operative time, more nodes removed (mean 31.6 vs 15.9, p<0.001) and more positive pathological nodes (28.0 vs 1.9%, p<0.001). Moreover, a wider lymphadenectomy template was not associated to greater risk of complications or lymphocele. CONCLUSIONS In our retrospective analysis, a transperitoneal laparoscopic radical prostatectomy with an extended lymphadenectomy template including obturator, external iliac, common iliac and hypogastric nodes allows to remove a greater number of nodes, to obtain a more positive nodes without increasing risk of complications. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e898 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Roberto Sanseverino More articles by this author Tommaso Realfonso More articles by this author Olivier Intilla More articles by this author Umberto Di Mauro More articles by this author Giorgio Napodano More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...