Departamento de Urología, Hotel-Dieu de France, Beirut, Líbano; Facultad de Medicina, Universidad de Saint Joseph, Beirut, Líbano.
Departamento de Urología, Hotel-Dieu de France, Beirut, Líbano; Facultad de Medicina, Universidad de Saint Joseph, Beirut, Líbano.
Actas Urol Esp (Engl Ed). 2020 Dec;44(10):682-691. doi: 10.1016/j.acuro.2020.06.013. Epub 2020 Oct 14.
Pelvic lymph node dissection (PLND) in localized prostate cancer is feasible through an open, laparoscopic or robot-assisted approach. Data comparing the three approaches is sparse.
To perform a review in order to compare the effectiveness of the different PLND approaches.
A search was performed including the following words: ("pelvic lymph node dissection") OR ("pelvic lymphadenectomy") AND ("French"[Language] OR "English"[Language]) AND ("1990"[Date-Publication]: "3000"[Date-Publication]) AND prostatectomy[Title]). Twenty-nine articles were finally included in the qualitative synthesis.
Laparoscopic pelvic lymph node dissection in prostate cancer is a minimally invasive procedure with a relatively short operative time, minimal blood loss, lower level of pain, shorter hospital stay, and fewer perioperative complications when compared to an open approach. This technique is more cost-effective than a robot-assisted approach.
Concerning the treatment of localized prostate cancer, laparoscopic pelvic lymph node dissection should be learned and applied by urologists.
局部前列腺癌的盆腔淋巴结清扫术（PLND）可通过开放、腹腔镜或机器人辅助方法进行。比较这三种方法的数据很少。
进行综述以比较不同 PLND 方法的有效性。
搜索中使用了以下关键词：（“盆腔淋巴结清扫术”）或（“盆腔淋巴结切除术”）和（“法语”[语言]或“英语”[语言]）和（“1990 年”[发布日期]：“3000 年”[发布日期]）和前列腺切除术[标题]）。最后，有 29 篇文章被纳入定性综合分析。
与开放方法相比，腹腔镜前列腺癌盆腔淋巴结清扫术是一种微创程序，具有相对较短的手术时间、最小的出血量、较低的疼痛水平、较短的住院时间和较少的围手术期并发症。这种技术比机器人辅助方法更具成本效益。
关于局部前列腺癌的治疗，泌尿科医生应该学习和应用腹腔镜盆腔淋巴结清扫术。
