Detecting Lymph Nodes Metastasis in Prostate Cancer through Extended vs. Standard Laparoscopic Pelvic Lymphadenectomy

Abstract INTRODUCTION / OBJECTIVE: Pelvic lymphadenecto­my is the best method for staging localized prostate cancer. There is no consensus about how the pelvic lymphadenectomy should be performed for patients with cT2, Gleason score 7 or higher, PSA higher than 10 ng / mL. Scintigraphic studies of prostate lymph drainage show that many lymph nodes are not dissected according to the current recommendation of lymphadenectomy which could explain the high rate of cancer recurrence. The objectives of this work are an analysis of the local lymph node metastasis according to the preoperative data (digital examination,…