Peritoneal flaps for the prevention of lymphoceles after robot-assisted radical prostatectomy-a systematic review and IPD-meta-analysis of randomized controlled trials - PubMed
3 hours ago
- #Meta-analysis
- #Robot-assisted surgery
- #Lymphocele prevention
- Peritoneal flaps (PF) significantly reduce symptomatic lymphoceles (sLCs) requiring intervention after robot-assisted radical prostatectomy (RARP).
- PF also decrease rates of overall lymphoceles and complications, likely due to fewer lymphoceles and related interventions.
- BMI and presence of lymphoceles at discharge are identified as risk factors for sLCs.
- Subgroup analyses suggest PF's protective effect diminishes with increasing BMI, offering limited benefit in severely obese patients.
- PF creation does not significantly affect complication rates or prolong operative time.
- Lymphoceles at discharge indicate a higher risk for sLCs, suggesting closer observation for these patients.
- The study recommends PF as a new standard of care to reduce lymphocele-related morbidity.