Pelvic Lymph Node Dissection with Polymer Ligation Clips Reduces Hospital Stay
Author Information
Author(s): Muacevic Alexander, Adler John R, Yokoyama Hirotaka, Sugihara Toru, Kishino Hiroto, Yanase Atsushi, Watanabe Risako, Endo Kaori, Kamei Jun, Takaoka Ei-ichiro, Ando Satoshi, Fujimura Tetsuya
Primary Institution: Jichi Medical University
Hypothesis
This study aimed to compare postoperative lymphatic leakage between polymer ligation clips and vessel sealers.
Conclusion
Polymer ligation clips are associated with improved postoperative lymphatic leakage, shorter length of hospitalization, and lower costs compared to vessel sealers.
Supporting Evidence
- 81 patients underwent RARP with PLND.
- Total drainage volume was significantly lower in the clip group.
- Postoperative hospital stay was shorter in the clip group.
- Device costs for the clips were lower than those for the vessel sealer.
Takeaway
Using special clips instead of a vessel sealer during surgery helps patients go home faster and costs less.
Methodology
Retrospective analysis of patients who underwent robot-assisted radical prostatectomy with pelvic lymph node dissection.
Potential Biases
Possibility of selection bias due to retrospective design.
Limitations
Small sample size, lack of long-term follow-up, retrospective design, and potential urinary leakage not measured.
Participant Demographics
Patients with prostate cancer undergoing RARP with PLND, median age 72 years.
Statistical Information
P-Value
p = 0.016
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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