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Updated: Aug 15, 2026

Murine Mesenteric Lymphadenectomy for Selective Disruption of Lymphatic Communication with Region-Specific Gut
Published on: December 30, 2025
[Laparoscopic lymphadenectomy. Current indications]
Carlos Rioja Sanz1, Miguel Blas Marín, Luis Rioja Sanz
1Servicio de Urología, Hospital Universitario Miguel Servet, Po/Isabel La Católica 1-3 50009 Zaragoza, España.
Objectives:
To analyse the experience of our own group and other reference groups with laparoscopic pelvic lymphadenectomy since 1990 regarding different aspects: Technical details, results, complications, and establishment of its current indications for prostate cancer treatment.
Methods:
We report a retrospective statistical analysis of a series of lymphadenectomies over a 10 year period with a total of 202 cases (69 laparoscopic and 133 open surgical) analysing different lymph node invasion risk factors.
Results:
Elevated PSA and Gleason resulted in more lymph node infiltration being the cutting point in 40 and 7 respectively.
Conclusions:
Laparoscopic lymphadenectomy provides equal diagnostic reliability than the traditional technique. Currently we perform laparoscopic lymphadenectomy in prostate cancer for T3 tumours (independently of PSA or Gleason score) and in < T3 with PSA > or = 40, Gleason > or = 8, and in cases with Gleason 7 and PSA > 20.

