Laparoscopic pelvic lymphadenectomy has been proposed for staging of prostate cancer and might also be used, in selected cases, in bladder cancer. Of 31 laparoscopic lymphadenectomies (18 for prostate cancer and 13 for bladder cancer) 8 cases (26.1%) with positive nodes, were found 4 in the prostate group and 4 in the bladder cancer group. No intraoperative complications and negligible postoperative complications were observed (shoulder-tip pain in 10% of cases and subcutaneous emphysema in 24%); all events disappeared spontaneously after 24-36 hours. Patients with negative nodes underwent radical surgery except for two prostate cancer patients who underwent radiotherapy, and patients with positive nodes underwent hormonal therapy (for prostate cancer) or chemoradiotherapy (for bladder cancer). In conclusion, laparoscopic lymphadenectomy is a reliable method for staging urological malignancies, since it is less invasive, requires shorter hospitalization and postoperative convalescence than open lymphadenectomy. It is mainly indicated in high risk prostate cancer patients (elevated PSA and/or Gleason score) and in selected bladder cancer patients, especially when bladder sparing therapeutical protocols may be undertaken.
|Translated title of the contribution||Laparoscopic pelvis lymphadenectomy in carcinoma of the prostate and bladder: Indications, technique and results|
|Number of pages||5|
|Journal||Acta Urologica Italica|
|Issue number||SUPPL. 1|
|Publication status||Published - 1993|
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