[Morbidity of extended pelvic lymphadenectomy during robot-assisted laparoscopic prostatectomy for localized cancer prostate]. 2022

J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
Service d'urologie, CHU, Brest, France. Electronic address: julien.marolleau.pro@gmail.com.

OBJECTIVE To assess the morbidity specific of extended pelvic lymphadenectomy during robot-assisted laparoscopic radical prostatectomy in a 8 year retrospective study. METHODS We carried out a single-center, single-surgeon retrospective study on 342 consecutive patients who underwent a robot-assisted laparoscopic radical prostatectomy and extended pelvic lymphadenectomy, from July 2010 to March 2018. Postoperative complications were recorded up to 3 months after the operation. RESULTS Thirty (8.8%) patients had at least one complication related to lymphadenectomy including 1 vascular injury (0.3%), 7 injuries of the obturator nerve (2%), 5 venous thromboembolic complications (1.5%) including 4 pulmonary embolisms, 10 symptomatic lymphoceles (2.9%) and 8 lymphoedemas (2.3%). Of these complications, 13 were classified Clavien 1 (43.3%), 8 Clavien 2 (26.7%), 7 Clavien 3a (23.3%) and 2 Clavien 3b (6.7%). In univariate analysis a high age (P=0.04), high BMI (P<0.01) and pT stage (P=0.02) were significantly associated with complication whereas in multivariate analysis, only age (P=0.02) and BMI (P<0.01) lived were. In univariate analysis high BMI (P=0.04) and lymph node involvement (P=0.04) were associated with lymphatic complication. We did not find any other specific risk factor for the other complications. CONCLUSIONS With 8.8% of overall complications related to lymphadenectomy and 5% of complication classified Clavien grade 2 or higher, extended pelvic lymphadenectomy was not very morbid. Age and BMI were risk factors for a overall complication. BMI and lymph node involvement were risk factors for lymphatic complications. METHODS 4.

UI MeSH Term Description Entries
D008197 Lymph Node Excision Surgical excision of one or more lymph nodes. Its most common use is in cancer surgery. (From Dorland, 28th ed, p966) Lymph Node Dissection,Lymphadenectomy,Dissection, Lymph Node,Dissections, Lymph Node,Excision, Lymph Node,Excisions, Lymph Node,Lymph Node Dissections,Lymph Node Excisions,Lymphadenectomies,Node Dissection, Lymph,Node Dissections, Lymph
D008210 Lymphocele Cystic mass containing lymph from diseased lymphatic channels or following surgical trauma or other injury. Cyst, Lymphatic,Lymphatic Cyst,Lymphocoele,Cysts, Lymphatic,Lymphatic Cysts,Lymphoceles,Lymphocoeles
D008297 Male Males
D009017 Morbidity The proportion of patients with a particular disease during a given year per given unit of population. Morbidities
D010388 Pelvis The space or compartment surrounded by the pelvic girdle (bony pelvis). It is subdivided into the greater pelvis and LESSER PELVIS. The pelvic girdle is formed by the PELVIC BONES and SACRUM. Pelvic Region,Region, Pelvic
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D011467 Prostate A gland in males that surrounds the neck of the URINARY BLADDER and the URETHRA. It secretes a substance that liquefies coagulated semen. It is situated in the pelvic cavity behind the lower part of the PUBIC SYMPHYSIS, above the deep layer of the triangular ligament, and rests upon the RECTUM. Prostates
D011468 Prostatectomy Complete or partial surgical removal of the prostate. Three primary approaches are commonly employed: suprapubic - removal through an incision above the pubis and through the urinary bladder; retropubic - as for suprapubic but without entering the urinary bladder; and transurethral (TRANSURETHRAL RESECTION OF PROSTATE). Prostatectomy, Retropubic,Prostatectomy, Suprapubic,Prostatectomies,Prostatectomies, Retropubic,Prostatectomies, Suprapubic,Retropubic Prostatectomies,Retropubic Prostatectomy,Suprapubic Prostatectomies,Suprapubic Prostatectomy
D011471 Prostatic Neoplasms Tumors or cancer of the PROSTATE. Cancer of Prostate,Prostate Cancer,Cancer of the Prostate,Neoplasms, Prostate,Neoplasms, Prostatic,Prostate Neoplasms,Prostatic Cancer,Cancer, Prostate,Cancer, Prostatic,Cancers, Prostate,Cancers, Prostatic,Neoplasm, Prostate,Neoplasm, Prostatic,Prostate Cancers,Prostate Neoplasm,Prostatic Cancers,Prostatic Neoplasm
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
December 2012, Journal of endourology,
J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
June 2018, The Canadian journal of urology,
J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
April 1994, Nihon Hinyokika Gakkai zasshi. The japanese journal of urology,
J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
October 1996, Hinyokika kiyo. Acta urologica Japonica,
J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
June 2008, Journal of endourology,
J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
July 2013, BJU international,
J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
February 2019, Minerva chirurgica,
J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
August 2010, BJU international,
J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
February 2014, Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie,
J Marolleau, and T A Nguyen, and L Doucet, and A Coste, and N Schoentgen, and B Rousseau, and A Valeri, and G Fournier
January 2024, BMC urology,
Copied contents to your clipboard!