Pelvic Lymphadenectomy May Not Improve Biochemical Recurrence-Free Survival in Patients with Prostate Cancer Treated with Robot-Assisted Radical Prostatectomy in Japan (The MSUG94 Group).

multicenter cohort study pelvic lymph node dissection prostate cancer robot-assisted radical prostatectomy

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
25 Nov 2022
Historique:
received: 17 10 2022
revised: 18 11 2022
accepted: 24 11 2022
entrez: 11 12 2022
pubmed: 12 12 2022
medline: 12 12 2022
Statut: epublish

Résumé

In this multicenter retrospective cohort study, we aimed to evaluate whether pelvic lymph node dissection (PLND) improved biochemical recurrence (BCR) in patients with prostate cancer (PCa) who underwent robot-assisted radical prostatectomy (RARP) in Japan. A multicenter retrospective cohort study of 3195 PCa patients undergoing RARP at nine institutions in Japan was conducted. Enrolled patients were divided into two groups: those who underwent RARP without PLND (non-PLND group) and those who underwent PLND (PLND group). The primary endpoint was biochemical recurrence-free survival (BRFS) in PCa patients who underwent PLND. We developed a propensity score analysis to reduce the effects of selection bias and potential confounding factors. Propensity score matching resulted in 1210 patients being enrolled in the study. The 2-year BRFS rate was 95.0% for all patients, 95.8% for the non-PLND group, and 94.3% for the PLND group (

Identifiants

pubmed: 36497284
pii: cancers14235803
doi: 10.3390/cancers14235803
pmc: PMC9740735
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Sanae Namiki (S)

Department of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.

Makoto Kawase (M)

Department of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.

Shin Ebara (S)

Department of Urology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima 7308518, Japan.

Tomoyuki Tatenuma (T)

Department of Urology, Yokohama City University, Yokohama 2360004, Japan.

Takeshi Sasaki (T)

Department of Nephro-Urologic Surgery and Andrology, Mie University Graduate School of Medicine, Tsu 5148507, Japan.

Yoshinori Ikehata (Y)

Department of Urology, University of Toyama, Toyama 9300194, Japan.

Akinori Nakayama (A)

Department of Urology, Dokkyo Medical University Saitama Medical Center, Koshigaya 3438555, Japan.

Masahiro Toide (M)

Department of Urology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo 1138677, Japan.

Tatsuaki Yoneda (T)

Department of Urology, Seirei Hamamatsu General Hospital, Hamamatsu 4308558, Japan.

Kazushige Sakaguchi (K)

Department of Urology, Toranomon Hospital, Tokyo 1058470, Japan.

Jun Teishima (J)

Department of Urology, Kobe City Hospital Organization Kobe City Medical Center West Hospital, Kobe 6530013, Japan.

Kazuhide Makiyama (K)

Department of Urology, Yokohama City University, Yokohama 2360004, Japan.

Takahiro Inoue (T)

Department of Nephro-Urologic Surgery and Andrology, Mie University Graduate School of Medicine, Tsu 5148507, Japan.

Hiroshi Kitamura (H)

Department of Urology, University of Toyama, Toyama 9300194, Japan.

Kazutaka Saito (K)

Department of Urology, Dokkyo Medical University Saitama Medical Center, Koshigaya 3438555, Japan.

Fumitaka Koga (F)

Department of Urology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo 1138677, Japan.

Shinji Urakami (S)

Department of Urology, Toranomon Hospital, Tokyo 1058470, Japan.

Takuya Koie (T)

Department of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.

Classifications MeSH