The use of a surgical patch in the prevention of lymphoceles after extraperitoneal pelvic lymphadenectomy for XXXX : a randomized prospective pilot study.

@entity1 @entity263 @entity16284
PURPOSE: Pelvic lymphadenectomy is frequently performed simultaneously with radical prostatectomy to determine lymph node status and the most frequently recorded postoperative complication is the development of a symptomatic lymphocele. This study evaluated @entity16284 as an adjunct treatment in preventing lymphoceles after extraperitoneal pelvic lymphadenectomy for @entity263 . MATERIALS AND METHODS: A total of 60 consecutive @entity1 who had undergone radical prostatectomy and pelvic lymphadenectomy were prospectively enrolled in this study. The @entity1 were randomly assigned to a standard technique with the use of clips and electrocoagulation plus TachoSil, or to standard technique only. All @entity1 underwent ultrasound examination on postoperative days 7, 14 and 28 to test for the development of symptomatic or asymptomatic lymphoceles. Drainage volume and duration were also recorded. RESULTS: The baseline characteristics of the 2 randomized groups were well matched. Those @entity1 in whom we used TachoSil showed a lower drainage volume with a mean total volume of 64 +/- 45 ml (range 0 to 110) vs 190 +/- 62.72 ml (range 70 to 270, p = 0.009), and had significantly fewer symptomatic and asymptomatic lymphoceles (5 vs 19, p = 0.001). Only 5 percutaneous surgical procedures to drain the lymphoceles proved necessary, 1 of which occurred in the group with TachoSil. CONCLUSIONS: TachoSil seems to provide a useful additional treatment option for reducing drainage volume and preventing lymphocele development after extraperitoneal radical retropubic prostatectomy with pelvic lymphadenectomy.
