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Updated: Oct 8, 2025
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
THE ROLE OF LYMPHADENECTOMY IN PROSTATE CANCER PATIENTS
Dean Markić1, Romano Oguić1, Kristian Krpina1
11Department of Urology, University Hospital Rijeka, Rijeka, Croatia; 2Department of Urology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia; 3Department of Pathology, University Hospital Rijeka, Rijeka, Croatia; 4Department of Pathology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia; 5Department of Radiology, University Hospital Rijeka, Rijeka, Croatia.
Abstract:
Prostate cancer is one of the most important men's health issues in developed countries. For patients with prostate cancer a preoperative staging of the disease must be made. Involvement of lymph nodes could be assessed using imaging methods (CT or/and MRI), however, newer methods also exist (PET/CT, PSMA PET/CT). For some patients during radical prostatectomy a pelvic lymphadenectomy is recommended. Pelvic lymphadenectomy is indicated in intermediate- and high-risk group patients and with increased probability of lymph node invasion. The most used prediction tools for preoperative assessment of lymph nodes are Briganti and MSKCC nomograms and Partin tables. Pelvic lymphadenectomy can include different lymph nodes group, but extended lymphadenectomy is the recommended procedure. In 1-20% of patients, the lymph node invasion is present. Pelvic lymphadenectomy is primarily a diagnostic and staging method, and in minority of patients with positive lymph nodes it can be a curative method, too. In other patients with positive lymph nodes adjuvant therapy (radiotherapy and androgen deprivation therapy) can be beneficial.
