Background: For long time the standard lymphadenectomy is the part of radical cystectomy surgery for treament invasive bladder cancer. Some new research show the good result of extended pelvic lymphadenectomy in improving postoperative survival.
Purpose: Report techniques and results of extended pelvic lymphadenectomy in radical cystectomy for invasive bladder cancer.
Material and method: Prospective descriptive study on 38 extended pelvic lymphadenectomy patients from January 2013 to April 2017 at Hue Centre Hospital.
Results: Mean of age: 63.45 ± 12.5 years old. Female/man: 3/38. Lymph nodes metastasis6/38 patients, 4 obturator lymph node positive and 2common iliac vessels lymph node positive. Mean time of pelvic lymphadenectomy: 78 ± 43 mins. Mean of blood loss: 120 ± 55ml. Mean of lymph node count: 13 ± 4.
Conclusion: Extended pelvic lymphadenectomy should be perform for all patients radical cystectomy to improve postoperative survival and It is safe when perform at a good surgery centre with experienced surgeon.
Key words: Extended pelvic lymphadenectomy; invasive bladder cancer; Radical cystectomy