Comparaison de la morbidité entre curage étendu et curage limité au cours de la prostatectomie radicale laparoscopique

Rousseau, B.; Doucet, Laurent; Verbe, M.A. Perrouin; Papin, G.; Erauso, A.; Deruelle, C.; Valéri, Antoine; Fournier, Georges

doi:10.1016/j.purol.2013.07.018

Cited by 10 publications

(1 citation statement)

References 19 publications

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“…Pelvic lymphadenectomy (PLND), which remains the most accurate procedure for the detection of lymph node metastasis (LNM) in malignant pelvic tumors, plays an important role in surgical management of endometrial and prostate cancers (1, 2). However, the data from a prospective study suggests that lymphadenectomy is associated with the increasing operative time, blood loss and risk for surgical morbidity (e.g., blood vessel and nerve damage, lymphedema, and lymphocyst formation) (3, 4). Thus, novel nodal assessment techniques should be developed to improve the accuracy of LNM detection with lower surgical morbidity.…”

Section: Introductionmentioning

confidence: 99%

Robotic-Assisted Sentinel Lymph Node Mapping With Indocyanine Green in Pelvic Malignancies: A Systematic Review and Meta-Analysis

Jing

Wang

et al. 2019

Front. Oncol.

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Objective: Newer technologies such as near-infrared (NIR) imaging of the fluorescent dye indocyanine green (ICG) and daVinci Xi Surgical System have become promising tools for sentinel lymph node (SLN) mapping. This meta-analysis was conducted to comprehensively evaluate the diagnostic value of SLN in assessing lymph nodal metastasis in pelvic malignancies, using ICG with NIR imaging in robotic-assisted surgery. Materials and Methods: A literature search was conducted using PubMed for studies in English before April 2019. The detection rate, sensitivity of SLN detection of metastatic disease, and factors associated with successful mapping (sample size, study design, mean age, mean body mass index, type of cancer) were synthesized for meta-analysis. Results: A total of 17 articles including 1,059 patients were finally included. The reported detection rates of SLN ranged from 76 to 100%, with a pooled average rate of 95% (95% CI: 93–97; 17 studies). The sensitivity of SLN detection of metastatic disease ranged from 50 to 100% and the pooled sensitivity was 86% (95% CI: 75–94; 8 studies). There were no complications related to ICG administration reported. Conclusions: NIR imaging system using ICG in robotic-assisted surgery is a feasible and safe method for SLN mapping. Due to its promising performance, it is considered to be an alternative to a complete pelvic lymph node dissection.

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Section: Introductionmentioning

confidence: 99%

Robotic-Assisted Sentinel Lymph Node Mapping With Indocyanine Green in Pelvic Malignancies: A Systematic Review and Meta-Analysis

Jing

Wang

et al. 2019

Front. Oncol.

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Pelvine Lymphadenektomie

Weckermann

2014

Urologe

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Extended pelvic lymph node dissection allows exact lymph node staging and has the potential to improve prognosis. In addition to these advantages, there are some perioperative and postoperative complications. In case of transection of the obturator nerve, a microsurgical end-to-end anastomosis should be performed. The most frequent postoperative complication is (symptomatic) lymphocele which is predominantly diagnosed after extraperitoneal surgery. Meticulous lymph node dissection with clipping of lymphatic vessels, sparing the lateral wall of the external iliac artery from dissection, sufficient postoperative drainage, and application of low molecular weight heparin in the upper arm may reduce their incidence. Instillation of sclerosing agents and sufficient drainage are normally successful. If not, laparoscopic fenestration of lymphocele should be performed. Regular ultrasound examinations are necessary to diagnose and treat postoperative lymphocele in a timely manner.

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Risk factors for lymphorrhea and lymphocele after radical prostatectomy: a retrospective case–control study

Zheng

Ke²,

Wu³

et al. 2023

World J Urol

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Comparaison de la morbidité entre curage étendu et curage limité au cours de la prostatectomie radicale laparoscopique

Cited by 10 publications

References 19 publications

Robotic-Assisted Sentinel Lymph Node Mapping With Indocyanine Green in Pelvic Malignancies: A Systematic Review and Meta-Analysis

Robotic-Assisted Sentinel Lymph Node Mapping With Indocyanine Green in Pelvic Malignancies: A Systematic Review and Meta-Analysis

Pelvine Lymphadenektomie

Risk factors for lymphorrhea and lymphocele after radical prostatectomy: a retrospective case–control study

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