Comparison of laparoscopic and minilaparotomy pelvic lymphadenectomy for prostate cancer staging in a community practice

Lezin, Mark St.; Cherrie, Roderic J.; Cattolica, Eugene V.

doi:10.1016/s0090-4295(96)00378-0

Cited by 24 publications

(6 citation statements)

References 12 publications

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“…Other concepts have been suggested to enhance the diagnostic validity of PSA, like age–related tPSA reference ranges, PSA velocity and PSA density, particularly in the tPSA overlapping range [26]. …”

Section: Discussionmentioning

confidence: 99%

Comparison of the Clinical Validity of Free Prostate–Specific Antigen, Alpha–1 Antichymotrypsin–Bound Prostate–Specific Antigen and Complexed Prostate–Specific Antigen in Prostate Cancer Diagnosis

Lein¹,

Jung²,

Elgeti³

et al. 2001

European Urology

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Section: Discussionmentioning

confidence: 99%

Comparison of the Clinical Validity of Free Prostate–Specific Antigen, Alpha–1 Antichymotrypsin–Bound Prostate–Specific Antigen and Complexed Prostate–Specific Antigen in Prostate Cancer Diagnosis

Lein¹,

Jung²,

Elgeti³

et al. 2001

European Urology

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“…Endoscopic pelvic lymph node dissection is as effective as the open approach [3,10]. Although pelvic laparoscopic lymphadenectomy is popular because of the reported low morbidity [11], the overall complication rate of laparoscopic pelvic lymphadenectomy varies between 13 and 31% [3,4,12]. The cumulative study by Kavoussi et al [13] reported a 15% incidence of complications among 372 patients.…”

Section: Discussionmentioning

confidence: 99%

Repair of Inguinal Hernias Using the Mesh Technique during Extraperitoneal Pelvic Lymph Node Dissection

et al. 2001

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Purpose: This article describes our experience of using a totally extraperitoneal approach for endoscopic pelvic lymphadenectomy and inguinal hernia repair with the mesh technique in one procedure. Materials and Methods: A total of 52 patients underwent modified pelvic lymph node dissection for the staging of prostate cancer. Eight of them had hernia defects; 1 was recurrent. Five patients with direct and 3 patients with indirect inguinal hernias were treated by totally extraperitoneal hernia repair with the placement of a mesh measuring at least 10 × 15 cm (prolene mesh with incision and flap). Results: The mean duration of the lymphadenectomy itself was decreased from 150 min (first 20 patients) to 70 min (n = 21–52). The mean additional procedure time for hernioplasty was 15 min. The overall lymph node-positive rate was 9.6%. The complication rate was 7.7%. Four patients developed symptomatic lymphoceles, 1 of whom developed deep venous thrombosis. No complications occurred which were attributed to hernia repair. Morbidity did not rise, and hospitalization time did not increase for the patients who underwent hernioplasty. There were no recurrences or neuralgias on follow-up up to 2 years. Conclusions: By avoiding entry into the peritoneal cavity, the extraperitoneal approach obviates intra-abdominal complications (ileus, bowel injury, peritonitis) in both techniques. The extraperitoneal approach for pelvic lymph node dissection allows concomitant inguinal hernia to be repaired with low morbidity and within an acceptable operating time.

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“…Up to 50% of these complications must be classified as severe [30]. Authors who insist on a low complication rate of pelvic lymphadenectomy in most cases only have about 10 dissected lymph nodes in their specimens [32,33] or do not specify the number of dissected lymph nodes at all [34]. The latter makes an external evaluation of the surgical approach more difficult.…”

Section: Staging Lymphadenectomy In Prostate Cancermentioning

confidence: 99%

Lymph Node Staging in Clinically Localized Prostate Cancer

Wawroschek

Hamm²,

Weckermann³

et al. 2003

Urol Int

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Comparison of laparoscopic and minilaparotomy pelvic lymphadenectomy for prostate cancer staging in a community practice

Cited by 24 publications

References 12 publications

Comparison of the Clinical Validity of Free Prostate–Specific Antigen, Alpha–1 Antichymotrypsin–Bound Prostate–Specific Antigen and Complexed Prostate–Specific Antigen in Prostate Cancer Diagnosis

Comparison of the Clinical Validity of Free Prostate–Specific Antigen, Alpha–1 Antichymotrypsin–Bound Prostate–Specific Antigen and Complexed Prostate–Specific Antigen in Prostate Cancer Diagnosis

Repair of Inguinal Hernias Using the Mesh Technique during Extraperitoneal Pelvic Lymph Node Dissection

Lymph Node Staging in Clinically Localized Prostate Cancer

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Comparison of laparoscopic and minilaparotomy pelvic lymphadenectomy for prostate cancer staging in a community practice

Cited by 24 publications

References 12 publications

Comparison of the Clinical Validity of Free Prostate&ndash;Specific Antigen, Alpha&ndash;1 Antichymotrypsin&ndash;Bound Prostate&ndash;Specific Antigen and Complexed Prostate&ndash;Specific Antigen in Prostate Cancer Diagnosis

Comparison of the Clinical Validity of Free Prostate&ndash;Specific Antigen, Alpha&ndash;1 Antichymotrypsin&ndash;Bound Prostate&ndash;Specific Antigen and Complexed Prostate&ndash;Specific Antigen in Prostate Cancer Diagnosis

Repair of Inguinal Hernias Using the Mesh Technique during Extraperitoneal Pelvic Lymph Node Dissection

Lymph Node Staging in Clinically Localized Prostate Cancer

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Product

Resources

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Comparison of the Clinical Validity of Free Prostate–Specific Antigen, Alpha–1 Antichymotrypsin–Bound Prostate–Specific Antigen and Complexed Prostate–Specific Antigen in Prostate Cancer Diagnosis

Comparison of the Clinical Validity of Free Prostate–Specific Antigen, Alpha–1 Antichymotrypsin–Bound Prostate–Specific Antigen and Complexed Prostate–Specific Antigen in Prostate Cancer Diagnosis