Abstract | PURPOSE: We evaluated the perioperative complications associated with pelvic lymphadenectomy in patients undergoing radical retropubic prostatectomy. In particular the influence of the extent of pelvic lymphadenectomy and of other possible risk factors on the complication rate was examined. MATERIALS AND METHODS: All intraoperative and early postoperative complications in 1,380 patients who underwent radical retropubic prostatectomy were documented. Complications related to pelvic lymphadenectomy were described and evaluated statistically to explore the role of possible risk factors. RESULTS: CONCLUSIONS: Pelvic lymphadenectomy is the cause of a relevant number of perioperative complications in patients undergoing radical retropubic prostatectomy. Lymphocele formation, and the associated re-interventions and thromboembolic sequelae account for by far the highest percent of these complications. In the current study lymphocele formation depended on the extent of pelvic lymphadenectomy, the number of lymph nodes removed and the operating surgeon.
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Authors | Michael Musch, Virgilijus Klevecka, Ulla Roggenbuck, Darko Kroepfl |
Journal | The Journal of urology
(J Urol)
Vol. 179
Issue 3
Pg. 923-8; discussion 928-9
(Mar 2008)
ISSN: 1527-3792 [Electronic] United States |
PMID | 18207170
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Humans
- Lymph Node Excision
(adverse effects)
- Lymphocele
(etiology)
- Male
- Middle Aged
- Pelvis
- Prostatectomy
- Prostatic Neoplasms
(pathology, surgery)
- Risk Factors
- Thromboembolism
(etiology)
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