Journal article
Retzius Sparing Prostatectomy Effect on Symptomatic Lymphocele Rates
Urology (Ridgewood, N.J.), Vol.149, pp.129-132
03/2021
DOI: 10.1016/j.urology.2020.11.032
PMID: 33279613
Abstract
To compare symptomatic lymphocele rates between standard and Retzius sparing prostatectomy approaches.
From September 18, 2019 to July 15, 2020, robot assisted laparoscopic prostatectomies by 2 surgeons (1 using SP and other Xi) at a single institution were retrospectively reviewed. Symptomatic lymphoceles were diagnosed after the patient represented to the hospital with symptoms attributable to lymphocele and confirmed by abdominal CT scan. Statistical analysis was performed using R Studio (1.2).
There were 81 prostatectomies performed during the study period. Of these, 50 were Retzius sparing and 31 were standard approach. The 2 groups were similar in age, BMI, grade group, nerves spared, and T stage. Retzius sparing prostatectomies had higher lymph node yield and were more often performed with Xi multiport. Symptomatic lymphoceles were entirely present in the Retzius sparing group, occurring in 18% of cases at a mean time of 34 days after surgery. Retzius sparing approach was a significant predictor of lymphocele occurrence with an odds ratio of 23.77 (95% CI, 2-3725).
Retzius sparing prostatectomy was a significant predictor of symptomatic lymphoceles. Most of these cases required IR drainage and IV antibiotics as treatment. This is likely due to impairment of lymph reabsorption as the peritoneal lining remains approximated during Retzius sparing prostatectomy.
Details
- Title: Subtitle
- Retzius Sparing Prostatectomy Effect on Symptomatic Lymphocele Rates
- Creators
- Daniel Wong - Washington University in St. LouisJavier Rincon - Washington University in St. LouisGrant Henning - Washington University in St. LouisZachary Smith - Washington University in St. LouisEric Kim - Washington University in St. Louis
- Resource Type
- Journal article
- Publication Details
- Urology (Ridgewood, N.J.), Vol.149, pp.129-132
- DOI
- 10.1016/j.urology.2020.11.032
- PMID
- 33279613
- NLM abbreviation
- Urology
- ISSN
- 0090-4295
- eISSN
- 1527-9995
- Language
- English
- Date published
- 03/2021
- Academic Unit
- Urology
- Record Identifier
- 9984949452902771
Metrics
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