Extended lymph node dissection in robot-assisted radical prostatectomy: lymph node yield and distribution of metastases
Identifieur interne : 002A98 ( Main/Exploration ); précédent : 002A97; suivant : 002A99Extended lymph node dissection in robot-assisted radical prostatectomy: lymph node yield and distribution of metastases
Auteurs : Kwang Hyun Kim [Corée du Sud] ; Sey Kiat Lim [Corée du Sud] ; Kyo Chul Koo [Corée du Sud] ; Woong Kyu Han [Corée du Sud] ; Sung Joon Hong [Corée du Sud] ; Koon Ho Rha [Corée du Sud]Source :
- Asian Journal of Andrology [ 1008-682X ] ; 2014.
Abstract
In this study, we reported our experience performing robotic extended lymph node dissection (eLND) in patients with prostate cancer. A total of 147 patients with intermediate and high-risk prostate cancer who underwent robotic eLND from May 2008 to December 2011 were included in this analysis. The dissection template extended to the ureter crossing the iliac vessels. We assessed lymph node yield, lymph node positivity, and perioperative outcomes. Lymph node positivity was also evaluated according to the number of lymph nodes (LNs) removed (<22
Url:
DOI: 10.4103/1008-682X.133319
PubMed: 25038184
PubMed Central: 4236323
Affiliations:
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xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff2">Department of Urology, Ewha Womans University School of Medicine, Seoul, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Urology, Ewha Womans University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lim, Sey Kiat" sort="Lim, Sey Kiat" uniqKey="Lim S" first="Sey Kiat" last="Lim">Sey Kiat Lim</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Koo, Kyo Chul" sort="Koo, Kyo Chul" uniqKey="Koo K" first="Kyo Chul" last="Koo">Kyo Chul Koo</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Han, Woong Kyu" sort="Han, Woong Kyu" uniqKey="Han W" first="Woong Kyu" last="Han">Woong Kyu Han</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Hong, Sung Joon" sort="Hong, Sung Joon" uniqKey="Hong S" first="Sung Joon" last="Hong">Sung Joon Hong</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Rha, Koon Ho" sort="Rha, Koon Ho" uniqKey="Rha K" first="Koon Ho" last="Rha">Koon Ho Rha</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Asian Journal of Andrology</title><idno type="ISSN">1008-682X</idno><idno type="eISSN">1745-7262</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In this study, we reported our experience performing robotic extended lymph node dissection (eLND) in patients with prostate cancer. A total of 147 patients with intermediate and high-risk prostate cancer who underwent robotic eLND from May 2008 to December 2011 were included in this analysis. The dissection template extended to the ureter crossing the iliac vessels. We assessed lymph node yield, lymph node positivity, and perioperative outcomes. Lymph node positivity was also evaluated according to the number of lymph nodes (LNs) removed (<22 <italic>vs</italic> ≥22). The median number of LNs removed was 22 (11–51), and 97 positive LNs were found in 24 patients (16.3%). While the obturator fossa was the most common site for LN metastases (42.3%, 41/97), the internal iliac area was the most common area for a single positive LN packet (20.8%, 5/24). Eight patients (33.3%, 8/24) had positive LNs at the common iliac area. The incidence of positive LNs did not differ according to the number of LNs removed. Complications associated with eLND occurred in 21 patients (14.3%) and symptomatic lymphocele was found in five patients (3.4%). In conclusion, robotic eLND can be performed with minimal morbidity. Furthermore, LN yield and the node positive rate achieved using this robotic technique are comparable to those of open series. In addition, the extent of dissection is more important than the absolute number of LNs removed in eLND, and the robotic technique is not a prohibitive factor for performing eLND.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abbou, Cc" uniqKey="Abbou C">CC Abbou</name></author><author><name sortKey="Hoznek, A" uniqKey="Hoznek A">A Hoznek</name></author><author><name sortKey="Salomon, L" uniqKey="Salomon L">L Salomon</name></author><author><name sortKey="Olsson, Le" uniqKey="Olsson L">LE Olsson</name></author><author><name sortKey="Lobontiu, A" uniqKey="Lobontiu A">A Lobontiu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jayram, G" uniqKey="Jayram G">G Jayram</name></author><author><name sortKey="Decastro, Gj" uniqKey="Decastro G">GJ Decastro</name></author><author><name sortKey="Large, Mc" uniqKey="Large M">MC Large</name></author><author><name sortKey="Razmaria, A" uniqKey="Razmaria A">A 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Thompson</name></author><author><name sortKey="Siddiqui, S" uniqKey="Siddiqui S">S Siddiqui</name></author><author><name sortKey="Bagniewski, S" uniqKey="Bagniewski S">S Bagniewski</name></author><author><name sortKey="Bergstralh, Ej" uniqKey="Bergstralh E">EJ Bergstralh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schumacher, Mc" uniqKey="Schumacher M">MC Schumacher</name></author><author><name sortKey="Burkhard, Fc" uniqKey="Burkhard F">FC Burkhard</name></author><author><name sortKey="Thalmann, Gn" uniqKey="Thalmann G">GN Thalmann</name></author><author><name sortKey="Fleischmann, A" uniqKey="Fleischmann A">A Fleischmann</name></author><author><name sortKey="Studer, Ue" uniqKey="Studer U">UE Studer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pagliarulo, V" uniqKey="Pagliarulo V">V Pagliarulo</name></author><author><name sortKey="Hawes, D" uniqKey="Hawes D">D Hawes</name></author><author><name sortKey="Brands, Fh" uniqKey="Brands F">FH Brands</name></author><author><name sortKey="Groshen, S" uniqKey="Groshen S">S Groshen</name></author><author><name sortKey="Cai, J" uniqKey="Cai J">J Cai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ferrari, Ac" uniqKey="Ferrari A">AC Ferrari</name></author><author><name sortKey="Stone, Nn" uniqKey="Stone N">NN Stone</name></author><author><name sortKey="Kurek, R" uniqKey="Kurek R">R Kurek</name></author><author><name sortKey="Mulligan, E" uniqKey="Mulligan E">E Mulligan</name></author><author><name sortKey="Mcgregor, R" uniqKey="Mcgregor R">R McGregor</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kim, Kwang Hyun" sort="Kim, Kwang Hyun" uniqKey="Kim K" first="Kwang Hyun" last="Kim">Kwang Hyun Kim</name></region><name sortKey="Han, Woong Kyu" sort="Han, Woong Kyu" uniqKey="Han W" first="Woong Kyu" last="Han">Woong Kyu Han</name><name sortKey="Hong, Sung Joon" sort="Hong, Sung Joon" uniqKey="Hong S" first="Sung Joon" last="Hong">Sung Joon Hong</name><name sortKey="Kim, Kwang Hyun" sort="Kim, Kwang Hyun" uniqKey="Kim K" first="Kwang Hyun" last="Kim">Kwang Hyun Kim</name><name sortKey="Koo, Kyo Chul" sort="Koo, Kyo Chul" uniqKey="Koo K" first="Kyo Chul" last="Koo">Kyo Chul Koo</name><name sortKey="Lim, Sey Kiat" sort="Lim, Sey Kiat" uniqKey="Lim S" first="Sey Kiat" last="Lim">Sey Kiat Lim</name><name sortKey="Rha, Koon Ho" sort="Rha, Koon Ho" uniqKey="Rha K" first="Koon Ho" last="Rha">Koon Ho Rha</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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