The Results of Peritoneal Re-Approximation Methods on Symptomatic Lymphocele Formation in Robot-Assisted Laparoscopic Radical Prostatectomy and Extended Pelvic Lymphadenectomy

Yılmaz K., Ölçücü M. T., Arı Ö., Karamik K., Aktaş Y., Savaş M., ...Daha Fazla

Archivos Espanoles de Urologia, cilt.75, sa.5, ss.447-452, 2022 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 75 Sayı: 5
  • Basım Tarihi: 2022
  • Doi Numarası: 10.56434/j.arch.esp.urol.20227505.65
  • Dergi Adı: Archivos Espanoles de Urologia
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, Gender Studies Database, DIALNET
  • Sayfa Sayıları: ss.447-452
  • Anahtar Kelimeler: lymphocele, pelvic lymph node dissection, peritoneal re-approximation, radical prostatectomy, robot-assisted laparoscopy
  • Uşak Üniversitesi Adresli: Hayır

Özet

Introduction: To evlauate role of peritoneal re-approximation methods in the prevention of symphtomatic lymphocele formation in patients underwent transperitoneal robot-assisted laparoscopic prostatectomy (tRALP) and extendeded pelvic lympadenoctomy (ePLND). Materials and Methods: Between January 2016 and April 2020, 120 consecutive patients who were administered anterior t-RALP and ePLND were analyzed retrospectively. In group 1 (n = 40), peritoneal approximation was not performed after t-RALP and ePLND application, peritoneal half re-approximation was performed in group 2 (n=40), and peritoneal full re-approximation was performed in group 3 (n=40). Operative parameters and symptomatic lymphocele rates were compared between the groups. Results: There was no statistically significant difference between the groups in terms of mean age, body mass index and prostate-specific antigen levels, Gleason score on biopsy, D’amico risk groups, the mean number of lymph nodes removed, Clavien-Dindo complication grade and mean duration of the surgery. Patients with symptomatic lymphocele in Group 1, Group 2, and Group 3 were found to be 2 (5%), 3 (7.5%) and 5 (12.5%), respectively. There was no statistically significant difference between the groups in terms of symptomatic lymphocele formation. Conclusion: Half or full closure of the peritoneum does not affect the symptomatic lymphocele formation in patients who underwent tRALP and ePLND.