“…Prostate cancer (PCa) is the most common solid malignancy in men and the fifth leading cause of cancer death globally; it comprises 1.6 million cases and accounts for over 300,000 deaths annually. 1 , 2 , 3 Pelvic lymph node dissection (PLND), commonly performed simultaneously during radical prostatectomy (RP), is considered the gold standard for PCa nodal staging. 4 While PLND was historically viewed as imperative due to the incidence of nodal involvement exceeding 20%, the advent of modern screening approaches including PSA has drastically diminished the proportion of patients who present with nodal metastases.…”