Laparoscopic retroperitoneal lymph node dissection.
نویسنده
چکیده
OBJECTIVES Primary objective of the present article is to evaluate the surgical efficiency of the laparoscopic retroperitoneal lymph node dissection in clinical stage I and II testis tumor. Secundary, objective is the description of the technique used by the author. METHODS A description of the author's experience and review of the literature in terms of feasibility, oncological results and quality of life. RESULTS Once the learning curve has been overcome, the operative time is in the range of that open surgery with lower morbidity and complications. Ejaculation can be preserved in virtually all patients by means of a template dissection. With a mean follow-up of almost four years oncologic long-term outcome is not compromised by the laparoscopic approach. CONCLUSIONS In clinical stage I testis tumor laparoscopic retroperitoneal lymph node dissection can be used as a diagnostic measure with the same long term results as the open procedure. In stage II disease removal of residual tumor can also be achieved by laparoscopy.
منابع مشابه
Laparoscopic Retroperitoneal Lymph Node Dissection in the Extremely Obese Patient: Technical Insight Into Access and Port Placement
PURPOSE We report on laparoscopic retroperitoneal lymph node dissection (RPLND) in a morbidly obese patient to discuss the associated technical steps for satisfactory completion of staging lymphadenectomy. METHODS A laparoscopic RPLND was performed using a modified template on the left side. Initially, 4 ports were placed with the patient in the supine position. Three were placed 3 cm to the ...
متن کاملDesmoid Tumor Mimicking Port Site Recurrence after Laparoscopic Retroperitoneal Lymph Node Dissection for Metastatic Testicular Tumor: A Case Report
Background: Desmoid tumor is a rare benign soft tissue tumor which commonly affects the trunk and extremities. Case presentation: We report a patient who presented with a tumor that slowly grew at the left lower abdominal port site 1 year after post-chemotherapy laparoscopic retroperitoneal lymph node dissection (RPLND) for metastatic testicular tumor. The enlarging mass mimicking port site rec...
متن کاملRefining the laparoscopic retroperitoneal lymph node dissection for testicular cancer.
Since its initial description, the laparoscopic retroperitoneal lymph node dissection has evolved considerably, from a purely diagnostic tool performed to stage germ cell testicular cancer to a therapeutic operation that fully duplicates the open technique. Herein, we describe the current technique employed at our institution, along with illustrations of all surgical steps, and delineate the re...
متن کاملRobot-assisted laparoscopic retroperitoneal lymph node dissection for stage IIIb mixed germ cell testicular cancer after chemotherapy
Laparoscopic retroperitoneal lymph node dissection, especially when performed with the da Vinci Surgical System (Intuitive Surgical), has shown excellent cosmetic results with similar oncologic outcomes to those of open surgery. In this study, we present a case of robot-assisted retroperitoneal lymph node dissection performed in an 18-year-old man who was diagnosed with a stage IIIb mixed germ ...
متن کاملOpen versus laparoscopic retroperitoneal lymph node dissection: assessing adequacy of dissection in a porcine model.
BACKGROUND AND PURPOSE Laparoscopic retroperitoneal lymph node dissection (L-RPLND) is emerging as a viable alternative to traditional open retroperitoneal lymph node dissection (O-RPLND). Despite numerous reports confirming clinical oncologic equivalency between the two approaches, however, concerns still remain over the adequacy of laparoscopic dissection. We therefore sought to compare the c...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Urologic clinics of North America
دوره 28 1 شماره
صفحات -
تاریخ انتشار 2000