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Current status and therapeutic value of extended pelvic lymph node dissection during radical prostatectomy for prostate cancer.

Prostate Int

September 2024

Division of Urology, Department of Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.

Pelvic lymph node dissection (PLND) is important for accurate staging and prognosis of prostate cancer. Several guidelines recommend extended pelvic lymph node dissection (ePLND) for patients with non-low-risk prostate cancer. However, the therapeutic benefits of ePLND are unclear.

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Risk Factors and Treatments of Lymphoceles in Living Renal Transplants: A Single-Center Experience.

Exp Clin Transplant

December 2024

>From the Department of Nephrology, Toho University Faculty of Medicine, Tokyo, Japan; and the Department of Urology, Ryukyu University, Okinawa, Japan.

Objectives: This study aimed to determine interventions and identify risk factors for lymphocele formation following kidney transplant.

Materials And Methods: We conducted a retrospective review of 296 adult kidney transplants from 2010 to 2022 to investigate postoperative lymphocele formation. We divided patients into lymphocele cases and nonlymphocele cases.

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This study is aimed at evaluating the effectiveness of TachoSil in controlling lymphatic leakage in breast cancer patients undergoing axillary dissection. By examining its ability to reduce postsurgical lymphatic drainage, the study will assess its impact on complications like seroma formation, recovery time, and overall patient outcomes, including quality of life and reduced healthcare costs. Breast cancer patients treated in the Department of Surgical Oncology at King Abdulaziz Medical City were enrolled to receive either TachoSil or undergo drain placement after axillary dissection.

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Introduction Lymphocele is a typical complication of pelvic lymph node dissection (PLND) in robot-assisted radical prostatectomy (RARP). This study aimed to compare postoperative lymphatic leakage between the polymer ligation clip and vessel sealer, and evaluated the costs associated with the former. Methods The study enrolled patients who underwent RARP with PLND at our institution between April 2018 and March 2023 and were treated with a vessel sealer (LigaSure Blunt Tip 44 NC; Medtronic, Dublin, Ireland) until September 2021, and Hem-o-lok polymer ligation clips(Teleflex, Wayne, PA, USA) thereafter.

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Article Synopsis
  • The study examined postoperative complication rates in elderly prostate cancer patients undergoing robot-assisted radical prostatectomy (RARP) across various age groups.
  • A total of 8,055 patients were analyzed, revealing similar complication rates for those under 70 and those aged 75 or older.
  • The conclusion indicated that age alone does not significantly increase the risk of complications after RARP in well-selected elderly patients, suggesting that surgery can be safely performed on older populations.
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