Fluorescence-guided lymphadenectomy in robot-assisted radical prostatectomy: the role of interventional radiology.

ABSTRACT:

Background

Bilateral extended pelvic lymph node dissection (ePLNR) is used in high-risk prostate cancer for assessing metastatic involvement and lymph node staging. Nevertheless, in patients with localized or locally advanced prostate cancer, loco-regional lymph nodes are not always metastatic. Based on this assumption, the aim of this study is to evaluate the potential of ePLND performed under fluorescence guidance after administration of the Indocyanine green (ICG)-Lipiodol mixture via embolization of the prostate arteries in order to identify metastatic lymph nodes, that are then confirmed by histopathology analysis.

Materials and methods

All participants underwent selective embolization of the prostatic arteries 24-48 h before the scheduled surgery. The embolization proc

SUBMITTER: Usai M 

PROVIDER: S-EPMC11937084 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature