IMPACT OF DIFFERENT METHODS OF PELVIC LYMPHADENECTOMY DURING RADICAL CYSTECTOMY & PROSTATECTOMY ON SURGICAL OUTCOMES: PROSPECTIVE RANDOMIZED STUDY

Abstract

Prostate and bladder cancer are considered as a serious health problem, where they represent the second and the seventh most commonly diagnosed cancer in the male population worldwide respectively.Radical cystectomy and prostatectomy with pelvic lymphadenectomy operations are considered the best treatment methods for non-metastatic muscle invasive bladder cancer and organ confined prostate cancer. Although pelvic lymphadenectomy plays a crucial role in staging and treatment of bladder and prostate cancer, there are some intraoperative complications such as increasing operative time, blood loss, vascular , neurologic injury and some postoperative complications as: lymphocele formation, lymphorrhea, prolonged drain placement with prolonged hospital stay, lymphedema and lower limb vascular compromise .Methods used during lymphadenectomy whether clips, monopolar diathermy or ligasure can have an impact on the intraoperative and postoperative complications of pelvic lymphadenectomy in radical cystectomy and prostatectomy operations.AIM OF THE WORK:The aim of this work was to study the impact of different methods of lymphatic vessel sealing during pelvic lymphadenectomy (clips, diathermy and ligasure) in radical cystectomy and radical prostatectomy on surgical outcomes.