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HOW CAN LYMPHOCELE DEVELOPMENT BE PREVENTED AFTER LAPAROSCOPIC RADICAL PROSTATECTOMY?
MedLine Citation:
PMID:  23030822     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
【Objectives】 Lymphocele development is the most frequently reported postoperative complication of pelvic lymph node dissection (PLND) performed with laparoscopic radical prostatectomy (LRP). This study evaluated the efficacy of a vessel sealing device (VSD) for the prevention of lymphocele development. 【Methods】 A total of 120 patients who underwent LRP with PLND were prospectively enrolled. The patients were randomly assigned to one of two groups; PLND using a conventional technique (group 1), and PLND performed with VSD (group 2). All patients underwent CT scanning one month postoperatively to evaluate the maximum sectional area of the lymphoceles. 【Results】 Lymphoceles developed in 63 cases (52.5%). One case (0.8%) was symptomatic with infection, and drainage tube placement was required. In the other 62 patients the lymphoceles developed asymptomatically and were detected by CT scanning. There was no significant difference in the lymphocele development ratio between the two groups. However, when we defined a lymphocele over 1500 mm2 as being a significant size, lymphoceles were present in 16 of 60 patients in group 1, and 4 of 60 patients in group 2. The incidence of significant lymphoceles over 1500 mm2 in the group using VSD was much lower than that of the group without VSD (P<0.01). Multivariate analysis demonstrated that VSD was the only independent factor that had an effect on preventing the development of lymphoceles over 1500 mm2 (p<0.01, Odds ratio = 4.96). 【Conclusion】 The results indicate that the development of large lymphoceles can be prevented by using VSD in LRP with PLND.
Authors:
Yota Yasumizu; Akira Miyajima; Takahiro Maeda; Toshikazu Takeda; Masanori Hasegawa; Takeo Kosaka; Eiji Kikuchi; Mototsugu Oya
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-2
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  -     ISSN:  1557-900X     ISO Abbreviation:  J. Endourol.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Keio University School of Medicine, urology, Tokyo, Japan; y.yasumizu0707@gmail.com.
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