Document Detail

Extended Lymphadenectomy "Step by Step" in Patients Undergoing Radical Prostatectomy.
MedLine Citation:
PMID:  21256557     Owner:  NLM     Status:  Publisher    
OBJECTIVES: To describe a surgical technique of pelvic lymph node dissection (PLND) in prostate cancer patients. The idea was to standardize the procedure of PLND and to increase the significance of lymphadenectomy as a part of radical prostatectomy (RP). The best ways to achieve this are (1) to describe the surgical procedure in detail, (2) to improve the knowledge of metastatic spread, and (3) to improve the management of complications. METHODS: One-hundred six patients with localized prostate carcinoma were treated with RP, including extended PLND. The number of removed lymph nodes (LNs) was correlated with histology and compared with that reported in the literature. Our aim was to observe technical differences that probably accrue in clinical outcomes. We proposed a conceptual schema of PLND. RESULTS: LN metastases were detected in 15 of 106 patients (14.15%). Positive sentinel LNs were detected in 11 of these 15 patients (73.3%). The average number of removed LNs was 20.5 (range +5). In 4 of 15 patients (26.5%), positive LNs were found in the fossa obturatoria; in 4 patients (26.5%) in the region of the external iliac artery; in 3 patients (20%) in the internal LN region; in 2 patients (13%) in the region of the common iliac artery; in 1 patient (7%) in the presciatic area; and in 1 patient (7%) in the sacral region. CONCLUSIONS: The standard routine was: (1) dissection of LN tissue along the common iliac artery, (2) dissection of LN tissue in the presciatic area, (3) dissection of LN tissue parasacral, and (4) peritoneal fenestration.
Daniar Kurmanbekovich Osmonov; Chaojun Wang; Jorg Hoenle; Aleksej Aksenov; Claudius Hamann; Carsten Maik Naumann; Klaus Peter Juenemann
Related Documents :
20224417 - The value of etco2 measurement for copd patients in the emergency department.
7897747 - Multiple chemical sensitivities--chemical sensitivity as a symptom of airway inflammation.
16614347 - Relative corticosteroid insensitivity of peripheral blood mononuclear cells in severe a...
8221257 - Total blood eosinophils, serum eosinophil cationic protein and eosinophil protein x in ...
22805297 - Qrs fragmentation and the risk of sudden cardiac death in madit ii.
7834587 - Difficult intubation: are you prepared for it?
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-20
Journal Detail:
Title:  Urology     Volume:  -     ISSN:  1527-9995     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Ureteral stents do not cause bacterial infections in children after ureteral reimplantation.
Next Document:  Surgical Repair of Traumatic Amputation of the Glans.