MP025: Lymphorrhea after robot-assisted radical prostatectomy and pelvic lymph node dissection case report
  • 2017-12-25,
  • 上傳者: TUA秘書處,
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彰化基督教醫院 外科部 泌尿科

Lymphorrhea after robot-assisted radical prostatectomy and pelvic lymph node dissection 

case report

Yun-Chu Shen, Bai-Fu Wang

Divisions of Urology, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan;


A 66-year-old male presented with weak stream of urination for several years. Serum PSA was 9.47 ng/mL, transrectal ultrasound showed moderate enlarged prostate. Transrectal prostate biopsy was performed. Pathlogy report showed adenocarcinoma, Gleason score 3+3=6(Grade group 1). Bone scan revealed no definite evidence of bone metastasis. MRI result was compatible with prostatic cancer over bilateral lobe, T2cN0M0. He was admitted initially for robot-assisted laparoscopic radical prostatectomy with bilateral nerve sparing and pelvic lymph node dissection on 2017-09-20. The drainage tube was placed over the site of anastomosis. Intermittent right lower abdominal pain was complained during admission. The drainage amount was 135ml on post-operative day 1 and day 2, then increased to more than 200 ml since post-operative day 3.

Sudden onset left flank soreness pain was noted since post-operative day 8. Renal ultrasound showed right mild hydronephrosis. Elevated serum creatinine was also noted. Right leg swelling and abdominal distention was complained since post-operative day 13. Abdominal CT was arranged.

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