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Fluorescence-supported lymphography and extended pelvic lymph node dissection in robot-assisted radical prostatectomy: A prospective, randomized trial

World Journal of Urology Jun 01, 2018

Harke NN, et al. - Researchers ascertained the benefits of fluorescence-supported extended pelvic lymph node dissection (ePLND) vs regular ePLND in robot-assisted radical prostatectomy. They prospectively randomized 120 patients with intermediate- or high-risk prostate cancer (1:1): in the intervention group, indocyanine green (ICG) was injected transrectally into the prostate before docking of the robot. Seemingly, ICG-ePLND was beneficial for a better understanding of the lymphatic drainage and a more meticulous diagnostic approach, however, the sensitivity was not sufficient to recommend stand-alone ICG lymph node dissection.
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