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The Results of Peritoneal Re-Approximation Methods on Symptomatic Lymphocele Formation in Robot-Assisted Laparoscopic Radical Prostatectomy and Extended Pelvic Lymphadenectomy.
Yilmaz, Kayhan; Ölçücü, Mahmut Taha; Ari, Özgür; Karamik, Kaan; Aktas, Yasin; Savas, Murat; Ates, Mutlu.
Afiliación
  • Yilmaz K; Department of Urology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey.
  • Ölçücü MT; Department of Urology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey.
  • Ari Ö; Department of Urology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey.
  • Karamik K; Department of Urology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey.
  • Aktas Y; Department of Urology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey.
  • Savas M; Department of Urology, Private Memorial Antalya Hospital, Antalya, Turkey.
  • Ates M; Department of Urology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey.
Arch Esp Urol ; 75(5): 447-452, 2022 Jun.
Article en En | MEDLINE | ID: mdl-35983817
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 prostatespecific 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Robótica / Linfocele / Laparoscopía Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Arch Esp Urol Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Robótica / Linfocele / Laparoscopía Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Arch Esp Urol Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: España