Post-chemotherapy laparoscopic retroperitoneal lymph-node dissection in testis cancer patients

Journal of Endourology
Rafael Maldonado-ValadezStefan Corvin

Abstract

Retroperitoneal lymph node dissection (RPLND) is still the most sensitive and specific method for the detection of malignant tumor and mature teratoma in stage II nonseminomatous testicular carcinoma after chemotherapy. Acceptance of this operation, however, has decreased because of the morbidity associated with the open approach. To reduce the morbidity and to improve the acceptance of RPLND, laparoscopy has been introduced. In this study, we describe our experiences with laparoscopic RPLND for stage II testicular carcinoma after chemotherapy. Sixteen patients underwent 17 laparoscopic RPLND after chemotherapy for clinical stage IIA-III nonseminomatous testicular cancer. Patients with post-chemotherapy residual masses >1 cm and normalization of tumor markers were considered for the procedure. Our dissection field included the resection of the residual tumor as well as the ipsilateral template. Laparoscopic RPLND was completed in all patients. Operative time ranged from 125 to 370 minutes (mean 240 +/- 56 min). No transfusions were required, and no intra- or postoperative complications occurred because of the procedure. A bleomycin-induced interstitial pneumonia developed in one patient. After a mean follow-up period of 26 +/- ...Continue Reading

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Citations

Apr 2, 2009·Journal of Endourology·Jean-Patrice CalestroupatGuy Vallancien
Jul 16, 2010·Journal of Endourology·Alon Z Weizer, Jeffrey S Montgomery
Jun 1, 2009·Therapeutic Advances in Urology·Thomas J Guzzo, Mohamad E Allaf
Jan 22, 2014·Current Opinion in Urology·Thomas Kunit, Günter Janetschek
Oct 4, 2014·Current Urology Reports·Allen SimChristian Schwentner
Dec 1, 2012·Journal of Robotic Surgery·Mohamed H KamelNabil K Bissada
Dec 21, 2010·Expert Review of Anticancer Therapy·Michael C Risk, Richard S Foster
Apr 21, 2012·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·X DurandUNKNOWN sous-comité organes génitaux externes du CCAFU
Dec 25, 2015·International Journal of Clinical Oncology·Terukazu NakamuraTsuneharu Miki
Jan 12, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Yasunori KimuraTsuneharu Miki
Mar 10, 2010·Veterinary Surgery : VS·Nicola C Cribb, Ludovic P Bouré
Jul 29, 2015·The Urologic Clinics of North America·Thomas Kunit, Günter Janetschek
Sep 29, 2011·Annals of the Royal College of Surgeons of England·N HaldipurJ D Beard
Mar 1, 2012·Arab Journal of Urology·Joel H HillelsohnLouis R Kavoussi

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