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Related Experiment Video

Updated: Apr 3, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

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Robotic Salvage Lymph Node Dissection After Radical Prostatectomy.

Fabio C M Torricelli^1,2,3, Arnaldo Cividanes^1,2,3, Giuliano B Guglielmetti^1,2,3

¹Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brasil.

International Braz J Urol : Official Journal of the Brazilian Society of Urology

|September 25, 2015

Summary

This summary is machine-generated.

Salvage lymph node dissection after radical prostatectomy is effective for treating prostate cancer recurrence. This robotic procedure successfully removed detected nodal metastases, leading to undetectable PSA levels.

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Area of Science:

Urology
Oncology
Surgical Oncology

Background:

Radical prostatectomy is a primary treatment for localized prostate cancer.
Biochemical recurrence with nodal metastases can occur post-surgery.
Salvage lymph node dissection (SLND) is a potential treatment option.

Observation:

A 70-year-old man with prostate adenocarcinoma experienced biochemical recurrence after robotic prostatectomy.
11C-Choline PET/CT identified a single metastatic lymph node.
The patient underwent robotic SLND for the isolated nodal metastasis.

Findings:

Robotic SLND was performed successfully with no complications.
Operative time was 1.5 hours with minimal blood loss.
Post-surgery, the patient achieved undetectable PSA levels without adjuvant therapy.

Implications:

Robotic SLND is a viable and effective treatment for select patients with recurrent prostate cancer.
This minimally invasive approach offers a favorable safety profile and oncological outcomes.
PET/CT imaging is crucial for identifying localized nodal recurrence amenable to salvage surgery.