PURPOSE:Pelvic lymphadenectomy is frequently performed simultaneously with radical prostatectomy to determine lymph node status and the most frequently recorded postoperative complication is the development of a symptomatic lymphocele. This study evaluated TachoSil as an adjunct treatment in preventing lymphoceles after extraperitoneal pelvic lymphadenectomy for prostate cancer. MATERIALS AND METHODS: A total of 60 consecutive patients who had undergone radical prostatectomy and pelvic lymphadenectomy were prospectively enrolled in this study. The patients were randomly assigned to a standard technique with the use of clips and electrocoagulation plus TachoSil, or to standard technique only. All patients underwent ultrasound examination on postoperative days 7, 14 and 28 to test for the development of symptomatic or asymptomatic lymphoceles. Drainage volume and duration were also recorded. RESULTS: The baseline characteristics of the 2 randomized groups were well matched. Those patients in whom we used TachoSil showed a lower drainage volume with a mean total volume of 64 +/- 45 ml (range 0 to 110) vs 190 +/- 62.72 ml (range 70 to 270, p = 0.009), and had significantly fewer symptomatic and asymptomatic lymphoceles (5 vs 19, p = 0.001). Only 5 percutaneous surgical procedures to drain the lymphoceles proved necessary, 1 of which occurred in the group with TachoSil. CONCLUSIONS:TachoSil seems to provide a useful additional treatment option for reducing drainage volume and preventing lymphocele development after extraperitoneal radical retropubic prostatectomy with pelvic lymphadenectomy.
RCT Entities:
PURPOSE: Pelvic lymphadenectomy is frequently performed simultaneously with radical prostatectomy to determine lymph node status and the most frequently recorded postoperative complication is the development of a symptomatic lymphocele. This study evaluated TachoSil as an adjunct treatment in preventing lymphoceles after extraperitoneal pelvic lymphadenectomy for prostate cancer. MATERIALS AND METHODS: A total of 60 consecutive patients who had undergone radical prostatectomy and pelvic lymphadenectomy were prospectively enrolled in this study. The patients were randomly assigned to a standard technique with the use of clips and electrocoagulation plus TachoSil, or to standard technique only. All patients underwent ultrasound examination on postoperative days 7, 14 and 28 to test for the development of symptomatic or asymptomatic lymphoceles. Drainage volume and duration were also recorded. RESULTS: The baseline characteristics of the 2 randomized groups were well matched. Those patients in whom we used TachoSil showed a lower drainage volume with a mean total volume of 64 +/- 45 ml (range 0 to 110) vs 190 +/- 62.72 ml (range 70 to 270, p = 0.009), and had significantly fewer symptomatic and asymptomatic lymphoceles (5 vs 19, p = 0.001). Only 5 percutaneous surgical procedures to drain the lymphoceles proved necessary, 1 of which occurred in the group with TachoSil. CONCLUSIONS: TachoSil seems to provide a useful additional treatment option for reducing drainage volume and preventing lymphocele development after extraperitoneal radical retropubic prostatectomy with pelvic lymphadenectomy.
Authors: Maria Luisa Gasparri; Thorsten Kuehn; Ilary Ruscito; Veronica Zuber; Rosa Di Micco; Ilaria Galiano; Siobana C Navarro Quinones; Letizia Santurro; Francesca Di Vittorio; Francesco Meani; Valerio Bassi; Nina Ditsch; Michael D Mueller; Filippo Bellati; Donatella Caserta; Andrea Papadia; Oreste D Gentilini Journal: Cancers (Basel) Date: 2021-04-24 Impact factor: 6.639
Authors: Giorgio L Colombo; Daria Bettoni; Sergio Di Matteo; Camilla Grumi; Cinzia Molon; Daniela Spinelli; Gaetano Mauro; Alessia Tarozzo; Giacomo M Bruno Journal: Vasc Health Risk Manag Date: 2014-09-10
Authors: Christoph Grimm; Stephan Polterauer; Samir Helmy; David Cibula; Michal Zikan; Alexander Reinthaller; Clemens Tempfer Journal: BMC Cancer Date: 2014-08-30 Impact factor: 4.430