he Results of Peritoneal Re-Approximation Methods on Symptomatic Lymphocele Formation in Robot-Assisted Laparoscopic Radical Prostatectomy and Extended Pelvic Lymphadenectomy

• Kayhan Yılmaz ^[1] ; Mahmut Taha Ölçücü ^[1] ; Özgür Arı ^[1] ; Kaan Karamik ^[1] ; Yasin Aktaş ^[1] ; Murat Savaş ^[2] ; Mutlu Ateş ^[1]
  1. [1] Department of Urology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey
  2. [2] Department of Urology, Private Memorial Antalya Hospital, Antalya, Turkey
• Localización: Archivos españoles de urología, ISSN 0004-0614, Tomo 75, Nº. 5, 2022, págs. 447-452
• Idioma: inglés
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• Resumen

  • ntroduction: 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 lympadenoc- tomy (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 prostate- specific 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 under- went tRALP and ePLND