The lack of standardized nomenclature and level 1 evidence has led to controversy regarding pelvic lymph node dissection during radical prostatectomy. However, the knowledge of metastases presence and location can be valuable to guide therapy. Including internal iliac nodes in standard dissection can improve metastasis detection, with minimal added risk of complications.
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C. J. Kane declares that he has acted as a consultant and received honoraria from Amgen, Dendreon, Intuitive Surgical and Janssen. M. A. Liss declares no competing interests.
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Kane, C., Liss, M. Risk versus benefit of lymph node dissection during prostatectomy. Nat Rev Urol 10, 262–263 (2013). https://doi.org/10.1038/nrurol.2013.77
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DOI: https://doi.org/10.1038/nrurol.2013.77