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Sir,

I read this article [1] with interest and have a few comments. In one conclusion the authors stated that laparoscopic pelvic lymphadenectomy can be undertaken safely by a urologist experienced in laparoscopic surgery. There are many studies that previously confirmed the feasibility and safety of this procedure, published earlier [2,3]; others studies have even confirmed the safety of robotic surgery in this field [4]. The other conclusion, that pelvic lymphadenectomy is justified in selected cases of locally advanced prostate cancer, was answered in the editorial comment by Professor Kirk. I think that this article added no new role for laparoscopy or lymph node biopsy in locally advanced prostate cancer, its only strength being in one of the few British accounts in laparoscopic urology which warrant publication because it reflects the local experience. Please correct me if I am wrong and accept my apologies.

  • 1
    Parkin J, Keely FX, Timoney AG. Laparoscopic lymph node sampling in locally advanced prostate cancer. BJU Int 2002; 89: 148
  • 2
    Kerbl K, Clayman R, Petros JA et al. Staging pelvic lymphadenectomy for prostate cancer. A comparison of laparoscopic and open techniques. J Urol 1993; 150: 3969
  • 3
    Kavoussi LR, Sosa E, Chandhoke P et al. Complications of laparoscopic pelvic lymph node dissection. J Urol 1993; 149: 322
  • 4
    Guillonneau B, Oliver C, Martinez JB, Navarra S, Vallancien G. Robotic assisted laparoscopic pelvic lymph node dissection in humans. J Urol 2001; 165: 107881