[Pelvic lymphadenectomy: celioscopy or laparotomy?].
We analyzed the results of our first 26 laparoscopic pelvic lymph node dissections performed in patients with cancer of the prostate and compared our findings with those obtained in a series of 16 laparotomy dissections. The two groups were comparable for plasma serum prostate specific antigen level (21.04 +/- 19 ng/ml vs. 29.3 +/- 12.8; p = 0.15 Student's unpaired t test), clinical stage at rectal examination and pathology stage. There was a significant difference in the number of post-operative days (4.3 +/- 2.45 days vs. 2.29 +/- 1.55 days; p = 0.025 Student's unpaired t test). The number of nodes removed was comparable (p = 0.35 Fischer exact test). Laparoscopic dissection of pelvic nodes is an interesting alternative to open surgery. Postoperative hospitalization is shorter and operative time is acceptable.
Péloquin
F
F
Service d'Urologie, Hôpital Notre-Dame, Montreal, Québec, Canada.
Saad
F
F
D000368:Aged; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D007902:Length of Stay; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000601:surgery*
Lymphadénectomie pelvienne: coelioscopie ou laparotomie?