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

BJU International
Kelly T HarrisMohamad E Allaf

Abstract

To compare the safety and perioperative outcomes of robotic retroperitoneal lymph node dissection (R-RPLND) vs laparoscopic RPLND (L-RPLND). Our 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. Between July 2006 and July 2014, 16 R-RPLND and 21 L-RPLND cases were performed by a single surgeon. Intra- and perioperative outcomes including operative time, estimated blood loss, lymph node yield, complicate rate, and ejaculatory status were similar between groups (all P > 0.1). As 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.

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Citations

Sep 10, 2015·Journal of Surgical Oncology·Haidar M Abdul-MuhsinErik P Castle
Mar 13, 2016·Current Urology Reports·Heather J ChalfinMohamad E Allaf
Feb 24, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Aggelos TselosAlexandros Papalampros
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Apr 29, 2020·Expert Review of Medical Devices·Ugo FalagarioRiccardo Autorino
Dec 17, 2015·Journal of Endourology·Mohamed H KamelRodney Davis
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Jun 4, 2019·Frontiers in Endocrinology·Rodrigo Markus VazMauro Bibancos
Jul 7, 2019·The Urologic Clinics of North America·Clint CaryTimothy A Masterson
Feb 12, 2021·Asian Journal of Urology·Gilberto J RodriguesRafael F Coelho
May 13, 2021·Journal of Pediatric Surgery·Jennifer H AldrinkPeter F Ehrlich
Nov 4, 2020·Clinical Genitourinary Cancer·Nicholas A PickersgillR Sherburne Figenshau

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