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• W140710454 abstract "No AccessJournal of Urology1 Nov 1991What are the Benefits of Extended Dissection of the Regional Renal Lymph Nodes in the Therapy of Renal Cell Carcinoma? A. Herrlinger, K.M. Schrott, G. Schott, and A. Sigel A. HerrlingerA. Herrlinger More articles by this author , K.M. SchrottK.M. Schrott More articles by this author , G. SchottG. Schott More articles by this author , and A. SigelA. Sigel More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38052-7AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail In a prospective study of 511 patients we compared the data of 320 who underwent systematically extended dissection of the regional lymph nodes with data of 191 who underwent only facultative dissection of the lymph nodes, which means that no lymph nodes had been removed or only a few were taken for staging purposes. Only patients without distant metastases and who were less than 72 years old were included. All patients were treated with a transabdominal approach. The incidence of positive nodes in the patients with systematically extended lymphadenectomy was 17.5% and for patients with facultative lymphadenectomy it was 10%. Survival rates of patients with facultative lymphadenectomy were 58% after 5 years and 40.9% after 10 years, compared to 66% and 56.1%, respectively, for patients with systematically extended lymphadenectomy (p <0.01). Patients with stage pT1-2 (Robson stage I) and pT3aN0M0 (Robson stage II) tumor obviously had the highest benefits with extended lymphadenectomy. Operative mortality was less than 1% after systematically extended lymphadenectomy and 3.8% after facultative lymphadenectomy. We conclude from our data that the systematic and extended lymphadenectomy improves the prognosis of patients with renal cell carcinoma without any additional operative risks. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByLaguna M (2018) Re: The Role of Lymph Node Dissection in the Management of Renal Cell Carcinoma: A Systematic Review and Meta-AnalysisJournal of Urology, VOL. 201, NO. 1, (26-27), Online publication date: 1-Jan-2019.Gershman B, Thompson R, Boorjian S, Larcher A, Capitanio U, Montorsi F, Carenzi C, Bertini R, Briganti A, Lohse C, Cheville J and Leibovich B (2018) Radical Nephrectomy with or without Lymph Node Dissection for High Risk Nonmetastatic Renal Cell Carcinoma: A Multi-Institutional AnalysisJournal of Urology, VOL. 199, NO. 5, (1143-1148), Online publication date: 1-May-2018.Laguna M (2018) Re: Perioperative Morbidity of Lymph Node Dissection for Renal Cell Carcinoma: A Propensity Score-Based AnalysisJournal of Urology, VOL. 200, NO. 3, (495-496), Online publication date: 1-Sep-2018.Gershman B, Thompson R, Moreira D, Boorjian S, Lohse C, Costello B, Cheville J and Leibovich B (2016) Lymph Node Dissection is Not Associated with Improved Survival among Patients Undergoing Cytoreductive Nephrectomy for Metastatic Renal Cell Carcinoma: A Propensity Score Based AnalysisJournal of Urology, VOL. 197, NO. 3 Part 1, (574-579), Online publication date: 1-Mar-2017.Montgomery J and Leibovich B (2018) Lymph Node Excision for Renal CancerJournal of Urology, VOL. 189, NO. 2, (419-421), Online publication date: 1-Feb-2013.Dimashkieh H, Lohse C, Blute M, Kwon E, Leibovich B and Cheville J (2018) Extranodal Extension in Regional Lymph Nodes is Associated With Outcome in Patients With Renal Cell CarcinomaJournal of Urology, VOL. 176, NO. 5, (1978-1983), Online publication date: 1-Nov-2006.PANTUCK A, ZISMAN A, DOREY F, CHAO D, HAN K, SAID J, GITLITZ B, FIGLIN R and BELLDEGRUN A (2018) Renal Cell Carcinoma With Retroperitoneal Lymph Nodes: Role of Lymph Node DissectionJournal of Urology, VOL. 169, NO. 6, (2076-2083), Online publication date: 1-Jun-2003.BÖHM M, ITTENSON A, PHILIPP C, RÖHL F, ANSORGE S and ALLHOFF E (2018) COMPLEX PERIOPERATIVE IMMUNO-DYSFUNCTION IN PATIENTS WITH RENAL CELL CARCINOMAJournal of Urology, VOL. 166, NO. 3, (831-836), Online publication date: 1-Sep-2001.Johnsen J and Hellsten S (2018) Lymphatogenous Spread of Renal Cell Carcinoma: An Autopsy StudyJournal of Urology, VOL. 157, NO. 2, (450-453), Online publication date: 1-Feb-1997. Volume 146Issue 5November 1991Page: 1224-1227 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordscarcinoma, renal celllymph node excisionlymph nodeskidney neoplasmsMetricsAuthor Information A. Herrlinger More articles by this author K.M. Schrott More articles by this author G. Schott More articles by this author A. Sigel More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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