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Abstract

Experimental Techniques in Urology & Nephrology

A Novel Strategic Clipping Technique in Pelvic Lymphadenectomy to Safely Avoid Routine Pelvic Drainage Placement During Laparoscopic Radical Prostatectomy

Submission: June 05, 2020; Published: July 15, 2020

DOI: 10.31031/ETUN.2020.03.000556

ISSN: 2578-0395
Volume3 Issue2

Abstract

Purpose: To safely avoid the routine placement of a pelvic drain after laparoscopic radical prostatectomy (LRP), a novel strategic clipping technique during pelvic lymphadenectomy (PLND) is presented to primarily decrease postoperative lymphatic leakage.

Material and Methods: We performed 76 LRP in which pelvic drainage was not placed. We described a novel technique in PLND and evaluated results and postoperative complications.

Results: Only one patient (1.31%) presented a complicated lymphocele that required percutaneous drainage under computed tomography guidance and antibiotic therapy. There were no cases of urinoma or anastomotic stricture.

Conclusion: The performance of a strategic clipping technique during the PLND associated with a bladder neck preservation and absence of urinary leakage allowed us to safely avoid the placement of a pelvic drain after the LRP.

Keywords: Prostate cancer; Radical prostatectomy; Pelvic lymphadenectomy; Pelvic drainage

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