Extended pelvic lymph node dissection: Before or after radical cystectomy? A multicenter study of the Turkish society of urooncology

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dc.contributor.authorOzen H.
dc.contributor.authorUgurlu O.
dc.contributor.authorBaltaci S.
dc.contributor.authorAdsan O.
dc.contributor.authorAslan G.
dc.contributor.authorCan C.
dc.contributor.authorGunaydin G.
dc.contributor.authorElhan A.
dc.contributor.authorBeduk Y.
dc.date.accessioned2019-10-26T21:47:55Z
dc.date.available2019-10-26T21:47:55Z
dc.date.issued2012
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose: We aimed to ascertain the effects of performing extended pelvic lymph node dissection (PLND) on the duration of surgery, morbidity, and the number of lymph nodes removed when the dissection was performed before or after radical cystectomy (RC). Materials and Methods: We used the database of our previous prospective multicenter study. A total of 118 patients underwent RC and extended PLND. Of the 118 patients, 48 (40.7%) underwent extended PLND before RC (group 1) and 70 (59.3%) underwent extended PLND after RC (group 2). The two groups were compared for extended PLND time, RC time, and total operation times, per operative morbidity, and the total numbers of lymph nodes removed. Results: Clinical and pathologic characteristics were comparable in the two groups (pgt; 0.05). The mean RC time and mean total operation times were significantly shorter in group 1 than in group 2 (p<0.001). The mean number of lymph nodes removed was 27.31±10.36 in group 1 and 30.87±8.3 in group 2 (p=0.041). Only at the presacral region was the mean number of lymph nodes removed significantly fewer in group 1 than in group 2 (p=0.001). Intraoperative and postoperative complications and drain withdrawal time were similar in both groups (p=0.058, p=0.391, p=0.613, respectively). Conclusions: When extended PLND was performed before RC, the duration of RC and consequently the total duration of the operation were significantly shorter than when extended PLND was performed after RC. Practitioners may consider performing extended PLND before RC and rechecking the presacral area for additional lymph nodes after RC, particularly in elderly patients with high co-morbidity for whom the duration of surgery matters. © The Korean Urological Association, 2012.en_US
dc.identifier.doi10.4111/kju.2012.53.7.451
dc.identifier.endpage456en_US
dc.identifier.issn2005-6737
dc.identifier.issn2005-6737en_US
dc.identifier.issue7en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage451en_US
dc.identifier.urihttps://doi.org/10.4111/kju.2012.53.7.451
dc.identifier.urihttps://hdl.handle.net/11454/18632
dc.identifier.volume53en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofKorean Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectExtended lymph node dissectionen_US
dc.subjectLymph node excisionen_US
dc.subjectMorbidityen_US
dc.subjectRadical cystectomyen_US
dc.subjectUrinary bladder neoplasmsen_US
dc.titleExtended pelvic lymph node dissection: Before or after radical cystectomy? A multicenter study of the Turkish society of urooncologyen_US
dc.typeArticleen_US

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