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Pelvic Lymph Node Dissection: A Comparison Among Extraperitoneal Single-port and Transperitoneal Multiport Radical Prostatectomy—A Single-center Experience

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Title: Pelvic Lymph Node Dissection: A Comparison Among Extraperitoneal Single-port and Transperitoneal Multiport Radical Prostatectomy—A Single-center Experience
Authors: Greta Pettenuzzo, Francesco Ditonno, Donato Cannoletta, Matteo Pacini, Luca Morgantini, Ruben Calvo Sauer, Juan R. Torres-Anguiano, Francesco Montorsi, Alberto Briganti, Riccardo Bartoletti, Alessandro Veccia, Riccardo Bertolo, Alessandro Antonelli, Simone Crivellaro
Source: European Urology Open Science, Vol 67, Iss , Pp 69-76 (2024)
Publisher Information: Elsevier, 2024.
Publication Year: 2024
Collection: LCC:Diseases of the genitourinary system. Urology
LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: Lymph node dissection, Robotic surgical procedures, Prostatectomy, Extraperitoneal, Diseases of the genitourinary system. Urology, RC870-923, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: Background and objective: The role of pelvic lymph node dissection (PLND) for prostate cancer is still controversial. This study aims to compare the outcomes of PLND between extraperitoneal single-port (SP eRARP) and transperitoneal multiport (MP tRARP) robotic-assisted radical prostatectomy. Methods: This was a retrospective analysis from our single-center database for patients who underwent SP eRARP or MP tRARP with PLND between 2015 and 2023. The primary endpoint was to analyze and compare specific data related to PLND between the two populations by the detection of pN+ patients, the total number of lymph nodes removed, and the number of positive lymph nodes removed. The secondary endpoints included comparing major complications, lymphoceles, and biochemical recurrence between the two cohorts of the study. Key findings and limitations: A total of 293 patients were included, with 85 (29%) undergoing SP eRARP and 208 (71%) undergoing MP tRARP. SP eRARP showed significant differences in PLND extension from MP tRARP, while MP tRARP yielded more lymph nodes (p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2666-1683
Relation: http://www.sciencedirect.com/science/article/pii/S2666168324006116; https://doaj.org/toc/2666-1683
DOI: 10.1016/j.euros.2024.07.110
Access URL: https://doaj.org/article/9667358987914d43b94dbf93506b990e
Accession Number: edsdoj.9667358987914d43b94dbf93506b990e
Database: Directory of Open Access Journals
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  Data: Pelvic Lymph Node Dissection: A Comparison Among Extraperitoneal Single-port and Transperitoneal Multiport Radical Prostatectomy—A Single-center Experience
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  Data: <searchLink fieldCode="AR" term="%22Greta+Pettenuzzo%22">Greta Pettenuzzo</searchLink><br /><searchLink fieldCode="AR" term="%22Francesco+Ditonno%22">Francesco Ditonno</searchLink><br /><searchLink fieldCode="AR" term="%22Donato+Cannoletta%22">Donato Cannoletta</searchLink><br /><searchLink fieldCode="AR" term="%22Matteo+Pacini%22">Matteo Pacini</searchLink><br /><searchLink fieldCode="AR" term="%22Luca+Morgantini%22">Luca Morgantini</searchLink><br /><searchLink fieldCode="AR" term="%22Ruben+Calvo+Sauer%22">Ruben Calvo Sauer</searchLink><br /><searchLink fieldCode="AR" term="%22Juan+R%2E+Torres-Anguiano%22">Juan R. Torres-Anguiano</searchLink><br /><searchLink fieldCode="AR" term="%22Francesco+Montorsi%22">Francesco Montorsi</searchLink><br /><searchLink fieldCode="AR" term="%22Alberto+Briganti%22">Alberto Briganti</searchLink><br /><searchLink fieldCode="AR" term="%22Riccardo+Bartoletti%22">Riccardo Bartoletti</searchLink><br /><searchLink fieldCode="AR" term="%22Alessandro+Veccia%22">Alessandro Veccia</searchLink><br /><searchLink fieldCode="AR" term="%22Riccardo+Bertolo%22">Riccardo Bertolo</searchLink><br /><searchLink fieldCode="AR" term="%22Alessandro+Antonelli%22">Alessandro Antonelli</searchLink><br /><searchLink fieldCode="AR" term="%22Simone+Crivellaro%22">Simone Crivellaro</searchLink>
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  Data: European Urology Open Science, Vol 67, Iss , Pp 69-76 (2024)
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  Data: Elsevier, 2024.
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  Data: <searchLink fieldCode="DE" term="%22Lymph+node+dissection%22">Lymph node dissection</searchLink><br /><searchLink fieldCode="DE" term="%22Robotic+surgical+procedures%22">Robotic surgical procedures</searchLink><br /><searchLink fieldCode="DE" term="%22Prostatectomy%22">Prostatectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Extraperitoneal%22">Extraperitoneal</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases+of+the+genitourinary+system%2E+Urology%22">Diseases of the genitourinary system. Urology</searchLink><br /><searchLink fieldCode="DE" term="%22RC870-923%22">RC870-923</searchLink><br /><searchLink fieldCode="DE" term="%22Neoplasms%2E+Tumors%2E+Oncology%2E+Including+cancer+and+carcinogens%22">Neoplasms. Tumors. Oncology. Including cancer and carcinogens</searchLink><br /><searchLink fieldCode="DE" term="%22RC254-282%22">RC254-282</searchLink>
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  Data: Background and objective: The role of pelvic lymph node dissection (PLND) for prostate cancer is still controversial. This study aims to compare the outcomes of PLND between extraperitoneal single-port (SP eRARP) and transperitoneal multiport (MP tRARP) robotic-assisted radical prostatectomy. Methods: This was a retrospective analysis from our single-center database for patients who underwent SP eRARP or MP tRARP with PLND between 2015 and 2023. The primary endpoint was to analyze and compare specific data related to PLND between the two populations by the detection of pN+ patients, the total number of lymph nodes removed, and the number of positive lymph nodes removed. The secondary endpoints included comparing major complications, lymphoceles, and biochemical recurrence between the two cohorts of the study. Key findings and limitations: A total of 293 patients were included, with 85 (29%) undergoing SP eRARP and 208 (71%) undergoing MP tRARP. SP eRARP showed significant differences in PLND extension from MP tRARP, while MP tRARP yielded more lymph nodes (p
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      – SubjectFull: Lymph node dissection
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      – SubjectFull: Robotic surgical procedures
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