Peritoneal flap for lymphocele prophylaxis following robotic-assisted laparoscopic radical prostatec… - SLUB Dresden

Medientyp: E-Artikel

Titel: Peritoneal flap for lymphocele prophylaxis following robotic-assisted laparoscopic radical prostatectomy with pelvic lymph node dissection : study protocol and trial update for the randomized controlled PELYCAN study

Beteiligte: Neuberger, Manuel [Verfasser:in] ; Kowalewski, Karl-Friedrich [Verfasser:in] ; Simon, Valentin [Verfasser:in] ; Wessels, Frederik [Verfasser:in] ; Siegel, Fabian [Verfasser:in] ; Worst, Thomas [Verfasser:in] ; Westhoff, Niklas Christian [Verfasser:in] ; Hardenberg, Jost von [Verfasser:in] ; Kriegmair, Maximilian [Verfasser:in] ; Michel, Maurice Stephan [Verfasser:in] ; Honeck, Patrick [Verfasser:in] ; Nuhn, Philipp [Verfasser:in]

Erschienen: 29 March 2021

Sprache: Englisch

DOI: 10.1186/s13063-021-05168-x

Identifikator:

Schlagwörter: Evidence-based medicine ; Lymphocele ; Prostate cancer ; Prostatectomy ; Randomized controlled trial ; Robotic surgery ; Urology

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Beschreibung: Data from interventional studies suggest that a peritoneal flap after pelvic lymph node dissection (LND) during laparoscopic, robotic-assisted radical prostatectomy (RARP) may reduce the rate of symptomatic lymphoceles in transperitoneal approach. However, most of these studies are not conducted in a randomized controlled fashion, thus limiting their scientific value. A recent prospective, randomized, controlled trial (RCT) did not show superiority of a peritoneal flap while further trials are lacking. Therefore, the aim of the presented RCT will be to show that creating a peritoneal flap decreases the rate of symptomatic lymphoceles compared to the current standard procedure without creation of a flap.

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