Laparoscopic Retroperitoneal Lymph Node Dissection with Therapeutic Intent in Men with Clinical Stage I Nonseminomatous Germ Cell Tumors

ObjectiveTo compare the safety and perioperative outcomes of robotic retroperitoneal lymph node dissection (R-RPLND) vs laparoscopic RPLND (L-RPLND). Patients and MethodsOur Institutional Review Board-approved retrospective testicular cancer registry was queried for patients who underwent a primary unilateral R-RPLND or L-RPLND by a single surgeon for a stage I testicular non-seminomatous germ cell tumour. Groups were compared for differences in baseline and outcome variables. ResultsBetween July 2006 and July 2014, 16 R-RPLND and 21 L-RPLND cases were performed by a single surgeon. Intraand perioperative outcomes including operative time, estimated blood loss, lymph node yield, complicate rate, and ejaculatory status were similar between groups (all P > 0.1). ConclusionsAs an early checkpoint, R-RPLND appears comparable to L-RPLND in terms of safety and perioperative outcomes. It remains unclear if R-RPLND offers any tangible benefits over standard laparoscopy.

show abstract

“…Our laparoscopic technique for RPLND has previously been reported . For robotic cases, the patient is placed in the modified flank position.…”

Section: Methodsmentioning

confidence: 99%

A comparative analysis of robotic vs laparoscopic retroperitoneal lymph node dissection for testicular cancer

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

“…[61][62][63][64] Although technically feasible, these procedures should adhere to well-honed surgical principles, which should not be compromised in the interest of expediency.…”

Section: Retroperitoneal Lymph Node Dissectionmentioning

confidence: 99%