Heelkundige uitkomst na lymfeklierdissectie bij lokaal gevorderd renaal cel carcinoom: een retrospectieve analyse

Surgical outcomes after performing a lymph node dissection in locally advanced RCC: A retrospective analysis There is still controversy whether to perform a lymph node dissection (LND) in patients with locally advanced renal cell carcinoma (RCC) due to limited available literature which failed to demonstrate an overall survival benefit. In case of uncertain benefit, safety should be assessed to be able to make a recommendation. A retrospective analysis was performed in patients with locally advanced RCC who received a radical nephrectomy (RN) with or without LND between 2010 and 2020 at Ghent University Hospital. 17 patients (15%) experienced a high-grade postoperative complication (need for re-intervention, intensive care or death). Performing a LND was associated with a significantly higher risk of high-grade postoperative complications (26% vs 9% without lymph node dissection, p=0.028).