Extended robot‐assisted laparoscopic prostatectomy and extended pelvic lymph node dissection without adjuvant therapy is safe and effective for some patients with very‐high‐risk prostate cancer. The clinical stage and node positivity status predicted monotherapy failure, which may indicate good adjuvant therapy candidate.

Dec 8, 2016 · With the advent of robot-assisted laparoscopic prostatectomy (RALP), ePLND has been demonstrated to be feasible and safe in the hands of experienced robotic surgeons [3, 4, 5, 6, 7, 8]. Patient selection remains critical for achieving therapeutic success.

RALP with pelvic lymphadenectomy either alone or in combination with adjuvant therapy is an important treatment option for men with high-risk prostate cancer. RALP can provide effective management of locally advanced and high-risk prostate cancer while achieving excellent oncological outcomes.

Mar 21, 2024 · Robot-assisted radical prostatectomy (RARP) with extended lymphadenectomy (ePLND) is the gold standard for surgical treatment of prostate cancer (PCa). Recently, the en-bloc ePLND has been proposed but no studies reported on the standardization of the technique.

Prostatectomy (RALP), with or without lymph node dissection . What is RALP? Radical prostatectomy is an operation that removes the entire prostate gland, both seminal vesicles (small glands behind the bladder that produce most of the contents of semen) and a portion of both vas deferens (tubes that transport sperm from the testicles to the ...

Patient summary: Robot-assisted surgery represents a well-standardized, safe, and oncol-ogical effective option in men with locally advanced prostate cancer. Two out of three patients treated with this approach are free from recurrence at 3-yr follow-up.

An ePLND that identifies patients with lymph node metastasis including the internal iliac packet during RALP provides an accurate pathologic staging and may have survival benefits in high-risk prostate cancer.

Jan 29, 2024 · Extended pelvic lymph node dissection (ePLND) in men undergoing robot-assisted laparoscopic radical prostatectomy (RARP) is a widely used procedure. However, little is known about anatomical site-specific yields and subsequent metastatic patterns in these patients.

Studies show that intermediate- and high-risk patients should undergo ePLND up to the common iliac arteries in order to improve nodal staging. Evidence from the literature suggests that RP with ePLND improves survival in lymph node-positive prostate cancer.

Purpose: Limited data are available regarding the oncologic efficacy of pelvic lymph node dissection (PLND) performed during robotic-assisted laparoscopic prostatectomy (RALP) for prostate cancer. We aimed to determine the frequency of pelvic lymph node metastasis and oncological outcomes following RALP with PLND in patients who did not receive ...