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Staging Pelvic Lymphadenectomy for Prostate Cancer: A Comparison of Laparoscopic and Open Techniques

1993; Lippincott Williams & Wilkins; Volume: 150; Issue: 2 Part 1 Linguagem: Inglês

10.1016/s0022-5347(17)35491-5

1527-3792

Kurt Kerbl, Ralph V. Clayman, John A. Petros, Paramjit S. Chandhoke, Inderbir S. Gill,

Minimally Invasive Surgical Techniques

No AccessJournal of Urology1 Aug 1993Staging Pelvic Lymphadenectomy for Prostate Cancer: A Comparison of Laparoscopic and Open Techniques Kurt Kerbl, Ralph V. Clayman, John A. Petros, Paramjit S. Chandhoke, and Inderbir S. Gill Kurt KerblKurt Kerbl , Ralph V. ClaymanRalph V. Clayman , John A. PetrosJohn A. Petros , Paramjit S. ChandhokeParamjit S. Chandhoke , and Inderbir S. GillInderbir S. Gill View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35491-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The operative morbidity and convalescence of our initial 30 patients who underwent laparoscopic pelvic lymph node dissections were compared to those of 16 patients who underwent open surgical pelvic lymph node dissections performed at our institution for staging purposes between 1990 and 1992. The average time for laparoscopic pelvic lymph node dissection (199.4 minutes) was nearly twice that of surgical pelvic lymph node dissection (102.4 minutes). However, the blood loss in the former group was significantly less. Oral intake occurred after a mean of 0.63 days in the laparoscopic pelvic lymph node dissection group compared to 2.87 days in the surgical group. Also, laparoscopic pelvic lymph node dissection was superior to surgical pelvic lymph node dissection in terms of average postoperative analgesic use (1.55 versus 47mg. morphine sulfate), average hospital stay (1.7 versus 5.37 days), average return to normal daily activities (4.94 versus 42.9 days) and interval to full recovery (10.8 versus 65.5 days). However, the incidence of significant complications in the laparoscopic pelvic lymph node dissection group was 13%, with no complications seen in the surgical group. Interestingly, all significant problems in the bilateral laparoscopic pelvic lymph node dissection patients were confined to our initial 12 patients, indicating the steepness of the laparoscopic learning curve. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited bySOULIE M, SEGUIN P, RICHEUX L, MOULY P, VAZZOLER N, PONTONNIER F and PLANTE P (2018) UROLOGICAL COMPLICATIONS OF LAPAROSCOPIC SURGERY: EXPERIENCE WITH 350 PROCEDURES AT A SINGLE CENTERJournal of Urology, VOL. 165, NO. 6 Part 1, (1960-1963), Online publication date: 1-Jun-2001.GUILLONNEAU B, CAPPÈLE O, MARTINEZ J, NAVARRA S and VALLANCIEN G (2018) ROBOTIC ASSISTED, LAPAROSCOPIC PELVIC LYMPH NODE DISSECTION IN HUMANSJournal of Urology, VOL. 165, NO. 4, (1078-1081), Online publication date: 1-Apr-2001.MENG M and CARROLL P (2018) WHEN IS PELVIC LYMPH NODE DISSECTION NECESSARY BEFORE RADICAL PROSTATECTOMY? A DECISION ANALYSISJournal of Urology, VOL. 164, NO. 4, (1235-1240), Online publication date: 1-Oct-2000.FAHLENKAMP D, RASSWEILER J, FORNARA P, FREDE T and LOENING S (2018) COMPLICATIONS OF LAPAROSCOPIC PROCEDURES IN UROLOGY: EXPERIENCE WITH 2,407 PROCEDURES AT 4 GERMAN CENTERSJournal of Urology, VOL. 162, NO. 3 Part 1, (765-771), Online publication date: 1-Sep-1999.COLEGROVE P, WINFIELD H, DONOVAN J and SEE W (2018) LAPAROSCOPIC PRACTICE PATTERNS AMONG NORTH AMERICAN UROLOGISTS 5 YEARS AFTER FORMAL TRAININGJournal of Urology, VOL. 161, NO. 3, (881-886), Online publication date: 1-Mar-1999.HEDICAN S, SCHULAM P and DOCIMO S (2018) LAPAROSCOPIC ASSISTED RECONSTRUCTIVE SURGERYJournal of Urology, VOL. 161, NO. 1, (267-270), Online publication date: 1-Jan-1999.Stone N, Stock R and Unger P (2018) LAPAROSCOPIC PELVIC LYMPH NODE DISSECTION FOR PROSTATE CANCER: COMPARISON OF THE EXTENDED AND MODIFIED TECHNIQUESJournal of Urology, VOL. 158, NO. 5, (1891-1894), Online publication date: 1-Nov-1997.O'Dowd G, Veltri R, Orozco R, Miller M and Oesterling J (2018) Update on the Appropriate Staging Evaluation for Newly Diagnosed Prostate CancerJournal of Urology, VOL. 158, NO. 3, (687-698), Online publication date: 1-Sep-1997.Herrell D, Trachtenberg J and Theodorescu D (2018) Staging Pelvic Lymphadenectomy for Localized Carcinoma of the Prostate: A Comparison of 3 Surgical TechniquesJournal of Urology, VOL. 157, NO. 4, (1337-1339), Online publication date: 1-Apr-1997.Lund G, Winfield H, Donovan J, See W, Loening S and Williams R (2018) Laparoscopic Pelvic Lymph Node Dissection Following Definitive Radiotherapy for Carcinoma of the ProstateJournal of Urology, VOL. 157, NO. 2, (548-551), Online publication date: 1-Feb-1997.Gill I, Clayman R and McDougall E (2018) Advances in Urological LaparoscopyJournal of Urology, VOL. 154, NO. 4, (1275-1294), Online publication date: 1-Oct-1995.Gill I, Hodge E, Munch L, Goldfarb D, Novick A, Lucas B and Clayman R (2018) Transperitoneal Marsupialization of Lymphoceles: A Comparison of Laparoscopic and Open TechniquesJournal of Urology, VOL. 153, NO. 3, (706-711), Online publication date: 1-Mar-1995.Thomas R, Steele R, Smith R and Brannan W (2018) One-Stage Laparoscopic Pelvic Lymphadenectomy and Radical Perineal ProstatectomyJournal of Urology, VOL. 152, NO. 4, (1174-1177), Online publication date: 1-Oct-1994.Clayman R (2018) Pediatric Laparoscopy: Quo Vadis? A View from the OutsideJournal of Urology, VOL. 152, NO. 2 Part 2, (730-733), Online publication date: 1-Aug-1994.Kerbl K and Clayman R (2018) Acute Hemostasis During Laparoscopic Procedures: Method for Intraoperative Application of Hemostatic MaterialJournal of Urology, VOL. 151, NO. 1, (109-110), Online publication date: 1-Jan-1994. Volume 150Issue 2 Part 1August 1993Page: 396-398 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordsprostatic neoplasmslymph node excisionlymph nodesperitoneoscopyMetrics Author Information Kurt Kerbl More articles by this author Ralph V. Clayman More articles by this author John A. Petros More articles by this author Paramjit S. Chandhoke More articles by this author Inderbir S. Gill More articles by this author Expand All Advertisement PDF downloadLoading ...