How to minimize lymphoceles and treat clinically symptomatic lymphoceles after radical prostatectomy.

Abstract:

:The development of a lymphocele after pelvic surgery is a well-documented complication, especially where pelvic lymph node dissection (PLND) is part of the operation. However, not all lymphoceles are symptomatic and require treatment. Most lymphoceles spontaneously resolve, and even lymphoceles that become symptomatic may resolve without any intervention. Robotic assisted radical prostatectomy (RARP) is a common operation in urology where PLND is likely to be performed in intermediate and high-risk prostate cancer patients. The rationale for performing a PLND in prostate cancer is for accurate staging and potential therapeutic benefits. However, due to potential intraoperative and postoperative complications there is still a debate regarding the value of PLND in prostate cancer. In this review, we will discuss the potential risk factors to be aware of in pelvic surgery in order to minimize the formation of a lymphocele, along with the management for clinically significant lymphoceles.

journal_name

Curr Urol Rep

journal_title

Current urology reports

authors

Lee HJ,Kane CJ

doi

10.1007/s11934-014-0445-y

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

445

issue

10

eissn

1527-2737

issn

1534-6285

journal_volume

15

pub_type

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