The effect of peritoneal re-approximation on lymphocele formation in transperitoneal robot-assisted radical prostatectomy and extended pelvic lymphadenectomy

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dc.contributor.authorBoga, Mehmet Salih
dc.contributor.authorSonmez, Mehmet Giray
dc.contributor.authorKaramik, Kaan
dc.contributor.authorYilmaz, Kayhan
dc.contributor.authorSavas, Murat
dc.contributor.authorAtes, Mutlu
dc.date.accessioned2024-02-23T14:41:17Z
dc.date.available2024-02-23T14:41:17Z
dc.date.issued2020
dc.departmentNEÜen_US
dc.description.abstractObjective: The objective of the study was to evaluate the effect of peritoneal re-approximation at the end of the procedure in transperitoneal robot-assisted radical prostatectomy (tRARP) and extended pelvic lymphadenectomy (ePLND) on operative, oncologic, and symptomatic lymphocele rates. Material and methods: A total of 79 patients were included in the study who underwent tRARP and bilateral ePLND performed by two different experienced surgeons. One of the surgeons performed the peritoneal re-approximation (Group 1, n=41) and the other did not re-approximate the peritoneum (Group 2, n=38) at the end of the procedure in tRARP and ePLND. Operative parameters and symptomatic lymphocele rates were compared between the groups. Results: There were no significant differences between the preoperative parameters age, body mass index, and preoperative prostate-specific antigen values (p>0.05). The perioperative parameters were as follows: the operation time and estimated blood loss (EBL) was less, and the number of removed lymph nodes was higher in Group 2. However, only the difference in the EBL was statistically significant (p=0.03). Hospitalization time, symptomatic lymphocele, intervention requiring lymphocele, and complication rates were found to be less in Group 2, but only hospitalization time was statistically significant (p=0.04). Pathological parameters were similar for both groups. There was a significant correlation between lymph node positivity and the presence of symptomatic lymphocele in the correlation analysis (p=0.05). Conclusion: It has been shown in this study that the re-approximation of the peritoneum does not provide any additional benefit in terms of complications. Considering that this process also increases the operation time and lymphocele formation, we think there is no need for re-approximation after robot-assisted radical prostatectomy and pelvic lymphadenectomy.en_US
dc.identifier.doi10.5152/tud.2020.20255
dc.identifier.endpage467en_US
dc.identifier.issn2149-3235
dc.identifier.issn2149-3057
dc.identifier.issue6en_US
dc.identifier.pmid32833618en_US
dc.identifier.scopus2-s2.0-85094566026en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage460en_US
dc.identifier.urihttps://doi.org/10.5152/tud.2020.20255
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16788
dc.identifier.volume46en_US
dc.identifier.wosWOS:000587591000009en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLymphoceleen_US
dc.subjectPelvic Lymphadenectomyen_US
dc.subjectProstateen_US
dc.subjectRoboticsen_US
dc.subjectRobot-Assisted Radical Prostatectomyen_US
dc.titleThe effect of peritoneal re-approximation on lymphocele formation in transperitoneal robot-assisted radical prostatectomy and extended pelvic lymphadenectomyen_US
dc.typeArticleen_US

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