Department of Urology, Indiana University School of Medicine, Indianapolis, IN, USA.
J Endourol. 2012 Dec;26(12):1600-4. doi: 10.1089/end.2012.0375. Epub 2012 Oct 17.
Pelvic lymphadenectomy for prostate cancer is an important tool in the prognostication of the disease in selected patients who are at risk of occult lymph node metastases. This procedure, usually performed in conjunction with radical prostatectomy, had progressed successfully from an open approach to the current robot-assisted approach. The following article and accompanying video describe the surgical technique of robot-assisted pelvic lymphadenectomy for prostate cancer. We also discuss the indications, patient selection, preparation, complications, and tips to avoid the major pitfalls in the procedure.
前列腺癌盆腔淋巴结清扫术是一种重要的工具，可用于预测某些存在隐匿性淋巴结转移风险的特定患者的疾病预后。该手术通常与根治性前列腺切除术联合进行，已从开放式手术成功发展为目前的机器人辅助手术。本文及配套视频介绍了机器人辅助前列腺癌盆腔淋巴结清扫术的手术技术。我们还讨论了该手术的适应证、患者选择、准备、并发症以及避免手术主要陷阱的技巧。
