authors
-
Grzegorz Herlinger, Jacek Rykowski, Magdalena Czubak, Jan Szymanowski
- Oddział Urologii Szpitala Bielańskiego w Warszawie
Ordynator: dr med. J. Szymanowski
keywords
-
prostate prostate carcinoma radical prostatectomy lymphadenectomy
summary
- Objective. Evaluation of lymph node dissection in patients with prostate cancer.
- Material and methods. Radical retropubic prostatectomy was performed in
- 79 patients. Pelvic lymph node dissection was performed in all patients. Iliac
- external, internal et obturator lymph nodes were removed bilaterally.
- Results. Mean operating time was 1.5 hour. In 35 patients pelvic lymph
- nodes were positive for prostate cancer. Of the patients 17% had metastases only
- in iliac external nodes. 60% patients with metastases had disease stage pT3c. 50%
- had PSA below 20 ng/ml. Complications occurred in 18 patients: in 1 patient
- iliac vein injury, in 2 patients lymphocoele and in 15 patients scrotal oedema.
- Conclusions. We conclude that standard pelvic lymph node dissection is
- accurate procedure in patients with prostate cancer who underwent radical
- prostatectomy. Open lymphadenectomy is safe method with low morbidity.
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