Indian Journal of Urology
EVIDENCE BASED UROLOGY
Year
: 2010  |  Volume : 26  |  Issue : 3  |  Page : 448--449

Lymphadenectomy in bladder cancer: What should be the extent?


K Muruganandham, A Mandhani 
 Department of Urology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, UP, India

Correspondence Address:
A Mandhani
Department of Urology and renal transplantation, SGPGIMS, Lucknow, UP
India

The extent of Lymh node dissection (LND) during radical cystectomy is a subject of increasing importance with several studies suggesting that an extended LND may improve staging accuracy and outcome. Significant numbers of patients have lymph node metastasis above the boundaries of standard LND. Extended LND yields higher number of lymph nodes which may result in better staging. Various retrospective studies have reported better oncological outcomes with extended LND compared to limited LND. No difference in the mortality and the incidence of lymphocele formation has been found between «SQ»standard«SQ» and «SQ»extended«SQ» LND. Till we have a well-designed randomized controlled trial to address these issues for level 1 evidence, it is not justified to deny our patients the advantages of «SQ»extended«SQ» lymphadenectomy based on the current level of evidence.


How to cite this article:
Muruganandham K, Mandhani A. Lymphadenectomy in bladder cancer: What should be the extent?.Indian J Urol 2010;26:448-449


How to cite this URL:
Muruganandham K, Mandhani A. Lymphadenectomy in bladder cancer: What should be the extent?. Indian J Urol [serial online] 2010 [cited 2021 Jun 23 ];26:448-449
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=3;spage=448;epage=449;aulast=Muruganandham;type=0