Feasibility of Lymphadenectomy in Laparoscopic Radical Cystectomy

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dc.contributor.author Núñez-Mora, Carlos spa
dc.contributor.author García Mediero, José María spa
dc.contributor.author Cabrera Castillo, Pedro Manuel spa
dc.contributor.author García-Tello, Ana spa
dc.contributor.author González, Javier spa
dc.contributor.author Angulo Cuesta, Javier spa
dc.date.accessioned 2013-11-27T17:26:51Z
dc.date.available 2013-11-27T17:26:51Z
dc.date.issued 2010 spa
dc.identifier.citation Núñez-Mora, C., García-Mediero, J. M., Cabrera-Castillo, P. M., García-Tello, A., González, J., & Angulo-Cuesta, J. (2010). Feasibility of lymphadenectomy in laparoscopic radical cystectomy. Urology, 76(3), 759-763. spa
dc.identifier.issn 00904295 spa
dc.identifier.uri http://hdl.handle.net/11268/1113
dc.description.abstract OBJECTIVES The number of lymph nodes obtained through lymphadenectomy during radical cystectomy has prognostic and therapeutic value. We analyzed the number of nodes obtained during laparoscopic radical cystectomy to assess whether this approach allows satisfactory lymphadenectomy. METHODS A total of 80 consecutive laparoscopic radical cystectomies with lymphadenectomy were performed by the same surgical team from 2005 to 2008. The male/female ratio was 5.7: 1, the mean age was 65.3 years (range 47-87), and average body mass index was 26.7 kg/m(2) (range 20.6-40.1). Iliac-obturator lymphadenectomy up to the aortic bifurcation was performed after excising and pocketing the bladder. We analyzed the total number of lymph nodes identified by the pathologist and investigated a possible correlation with the variables presumably related to anatomic characteristics and other circumstances. RESULTS The mean operative time of this step was 32 minutes (range 17-70). Minor vascular morbidity was present in 5 cases (6.25%). The average number of lymph nodes obtained was 22.3 (range 7-74, median 21). In 75 cases (93.8%), >= 10 nodes were obtained, and in 33 cases (41.2%), lymph node metastasis was diagnosed. No association or correlation was found in the number of nodes extracted regarding age, body mass index, or number of positive nodes. Also, no differences were found in association with gender, use of induction therapy, or the indication for cystectomy. CONCLUSIONS Laparoscopic lymphadenectomy performed at radical cystectomy achieved an adequate number of lymph nodes. This technique did not entail an important increase in the duration of surgery. The complication rate was low. In experienced hands, laparoscopic lymphadenectomy is feasible and seems a secure oncologically correct procedure. UROLOGY 76: 759-763, 2010. (C) 2010 Elsevier Inc. spa
dc.language.iso eng spa
dc.subject.other Lymph-Node Dissection spa
dc.subject.other Positive Bladder-Cancer spa
dc.subject.other Pelvic Lymphadenectomy spa
dc.subject.other Impact spa
dc.subject.other Metastases spa
dc.subject.other Experience spa
dc.subject.other Carcinoma spa
dc.subject.other Prognosis spa
dc.subject.other Survival spa
dc.subject.other Program spa
dc.subject.other Urology & Nephrology spa
dc.title Feasibility of Lymphadenectomy in Laparoscopic Radical Cystectomy spa
dc.type article spa
dc.description.impact 2.334 JCR (2010) Q2, 26/69 Urology & nephrology spa
dc.identifier.doi 10.1016/j.urology.2010.02.019 spa
dc.rights.accessRights closedAccess en
dc.subject.unesco Cirugía spa
dc.subject.unesco Tratamiento médico spa
dc.subject.unesco Enfermedad spa
dc.peerreviewed Si spa

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