Robot-assisted laparoscopic retroperitoneal lymph node dissection for stage IIIb mixed germ cell testicular cancer after chemotherapy

Lee, Sang Hyub; Kim, Dong Soo; Chang, Sung‐Goo; Jeon, Seung Hyun

doi:10.4111/kju.2015.56.7.540

Cited by 9 publications

(9 citation statements)

References 10 publications

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“…Of note, oncologic outcomes do not seem to be compromised by the minimally invasive technique. Also, the node yield, which usually reflects the effectiveness of oncologic surgery, presented a weighted mean of 22.15 nodes in our review and was comparable with recent publications on the O-RPLND series that reported a median 28 [ [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] ] nodes removed [ 41 , 44 ].…”

Section: Discussionsupporting

confidence: 88%

“…As a result, multiple series of R-RPLND have been successfully reported recently in multiple experienced centers around the world, showing the potential of this surgical approach to increase the number of well-trained surgeons performing minimally invasive RPLND [ 10 , 11 , [13] , [14] , [15] , [16] , [17] , [18] ]. Even challenging cases as bulky CS III disease with concomitant inferior vena cava thrombectomy for metastatic GCT have already been managed successfully with a robotic approach by high-volume surgeons [ [23] , [24] , [25] , [26] , [27] ]. With regards to patient positioning, the initial series described the R-RPLND approach with the patient in flank position and trocar placement and docking similar to a partial nephrectomy [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

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Robot-assisted retroperitoneal lymphadenectomy: The state of art

Rodrigues

Guglielmetti

Orvieto

et al. 2021

Asian Journal of Urology

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Objective To perform a narrative review about the role of robot-assisted retroperitoneal lymphadenectomy (R-RPLND) in the management of testicular cancer. Methods A PubMed search for all relevant publications regarding the R-RPLND series up until August 2019 was performed. The largest series were identified, and weighted means calculated for outcomes using the number of patients included in each study as the weighting factor. Results Fifty-six articles of R-RPLND were identified and eight series with more than 10 patients in each were included. The weighted mean age was 31.12 years; primary and post chemotherapy R-RPLND were performed in 50.59% and 49.41% of patients. The clinical stage was I, II and III in 47.20%, 39.57% and 13.23% of patients. A modified R-RPLND template was used in 78.02% of patients, while 21.98% underwent bilateral full template. The weighted mean node yield, operative time and estimated blood loss were, respectively, 22.15 nodes, 277.35 min and 131.94 mL. The weighted mean length of hospital stay was 2 days and antegrade ejaculation was preserved in 92.12% of patients. Major post-operative complications (Clavien III or IV) occurred in 5.34%. Positive pathological nodes were detected in 24.54%, while the recurrence free survival was 95.77% with a follow-up of 21.81 months. Conclusion R-RPLND has proven to be a reproducible and safe approach in experienced centers; short-term oncologic outcomes are similar to the open approach with less morbidity and shorter convalescence related to its minimal invasiveness. However, longer follow-up and new trials comparing head-to-head both techniques are expected.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Robot-assisted retroperitoneal lymphadenectomy: The state of art

Rodrigues

Guglielmetti

Orvieto

et al. 2021

Asian Journal of Urology

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“…Kim et al [ 7 ] from Ulsan University presented five cases of RALPP, showing the technical feasibility of the procedure. Other robotic surgeries including distal ureterectomy and ureteral reimplantation [ 8 ], partial cystectomy for urachal disease [ 9 ], adrenalectomy [ 10 ], and retroperitoneal lymph node dissection [ 11 ] also began to be performed in the Korean urologic field.…”

Section: History Of Urologic Robotic Surgery In Koreamentioning

confidence: 99%

“…The mean operation time was longer in the robotic group (208.2 minutes) than in the laparoscopic group (181.1 minutes). Lee et al [ 11 ] presented a case of robot-assisted retroperitoneal lymph node dissection, which was performed in an 18-year-old man with a stage IIIb mixed germ cell tumor. The total operative time was 420 minutes.…”

Section: Other Types Of Robotic Surgerymentioning

confidence: 99%

Urologic robotic surgery in Korea: Past and present

Seo

2015

Korean J Urol

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Since 2005 when the da Vinci surgical system was approved as a medical device by the Korean Ministry of Health and Welfare, 51 systems have been installed in 40 institutions as of May 2015. Although robotic surgery is not covered by the national health insurance service in Korea, it has been used in several urologic fields as a less invasive surgery. Since the first robotic-assisted laparoscopic radical prostatectomy in 2005, partial nephrectomy, radical cystectomy, pyeloplasty, and other urologic surgeries have been performed. The following should be considered to extend the indications for robotic surgery: training systems including accreditation, operative outcomes from follow-up results, and cost-effectiveness. In this review, the history and current status of robotic surgeries in Korea are presented.

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“…Most of these cases were related to primary RPLND, whereas other investigations were related to salvage RPLND for residual tumor following chemotherapy [12,13,14]. Different patient positions and port configurations have been described, with different indications, advantages and disadvantages.…”

Section: Introductionmentioning

confidence: 99%

Robotic Retroperitoneal Lymph Node Dissection in Advanced Stage Disease

Mearini

Nunzi²,

Biase³

et al. 2016

Urol Int

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Objectives: The current report describes the feasibility of robotic retroperitoneal lymph node dissection (RRPLND), including some technical tricks for port placement for both right- and left-sided surgery. Methods: Patients with advanced stage retroperitoneal disease underwent RRPLND using the 4-arm da Vinci Si Surgical System (Intuitive Surgical, Inc.). In both cases, the field of dissection was an ipsilateral template for lymph node dissection. Results: RRPLND in such configuration was safe and effective in both cases. The illustrated port placement with perpendicular docking of the robot allowed for a wide range of motion with limited external clashing, providing sufﬁcient space for the assistant surgeon. The operative time was 300 min (including docking and console time), with no perioperative complications and short hospital stay. Conclusion: The port configuration for right- or left-sided unilateral template RRPLND was feasible, permitting a wide range of motion for the robotic arms and thus facilitating an efficient and safe dissection.

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Robot-assisted laparoscopic retroperitoneal lymph node dissection for stage IIIb mixed germ cell testicular cancer after chemotherapy

Cited by 9 publications

References 10 publications

Robot-assisted retroperitoneal lymphadenectomy: The state of art

Robot-assisted retroperitoneal lymphadenectomy: The state of art

Urologic robotic surgery in Korea: Past and present

Robotic Retroperitoneal Lymph Node Dissection in Advanced Stage Disease

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