Novel Technique Prevents Lymphoceles After Transperitoneal Robotic-assisted Pelvic Lymph Node Dissection: Peritoneal Flap Interposition

P.L.E.A.T.—Preventing Lymphocele Ensuring Absorption Transperitoneally: A Robotic Technique

“…In many cases, after release of the pneumoperitoneum after a RARP with PLND, even though the bladder is left 'dropped', perivesical fat adheres to the PLND bed, creating a closed space in which lymphatic fluid accumulates. As reported by Lebeis et al, the bladder often forms the medial wall of the lymphocele cavity 13 .…”

Risk factors and methods for prevention of lymphogenic complications in oncourological operations in pelvic area (systematic review)

“…Исследователи отметили, что в 1-й группе лимфатических кист не было, во 2-й группе развилось 9 (11,6 %) лимфоцеле и все они были симптоматическими (р = 0,0033). Среднее время от операции до проявления симптомов составило 30 дней [36]. Аналогичные данные получили F. Dal Moro и соавт.…”

Risk factors, complications and management of lymphocele formation after radical prostatectomy: A mini‐review

“…Lebeis et al . compared the technique of the peritoneal interposition flap fixed to the bladder with the standard approach without a flap in their RARP + PLND study, and observed no versus 11.6% LCs . Using extensive clipping, Davis et al .…”

“…27 Lebeis et al compared the technique of the peritoneal interposition flap fixed to the bladder with the standard approach without a flap in their RARP + PLND study, and observed no versus 11.6% LCs. 28 Using extensive clipping, Davis et al reported no SLCs in tRARP + PLND. 29 Of note, Orvieto et al switched to clipping instead of using only monopolar energy and bipolar forceps after encountering a LC rate of 51% in their RARP + PLND series.…”