Robot-Assisted Retroperitoneal Lymphadenectomy in Testicular Cancer Treatment: A Systematic Review

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Aggelos TselosAlexandros Papalampros

Abstract

Retroperitoneal lymph node dissection (RPLND) in testicular cancer is a documented treatment along with active surveillance and chemotherapy. This study aims to summarize the current evidence on the use of Robot-assisted RPLND (RARPLND) in comparison with the laparoscopic and open approach. A search was conducted in the existing literature focusing on reports with outcomes of RARPLND for stage I-IIB testicular tumor. Eleven studies complied with the inclusion criteria, including 116 patients. The average follow-up of 21.2 months showed no retroperitoneal recurrence. The median lymph node yield was 22.3 and the overall positive rate was 26%. Complications were encountered in 8% of the patients. The robotic approach showed similar results to the laparoscopic approach and outperformed the open procedure in perioperative parameters. Relapse-free survival, nodal yield, and complication rates during RARPLND for clinical stage I-IIB are acceptable. Further studies are required to establish these findings and determine benefit from the use of robotic approach.

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Citations

Dec 27, 2018·Current Opinion in Urology·Harsha R Mittakanti, James R Porter
Apr 29, 2020·Expert Review of Medical Devices·Ugo FalagarioRiccardo Autorino
Jan 6, 2021·Journal of Reconstructive Microsurgery·Lisa Wen-Yu ChenTommy Nai-Jen Chang
Jul 18, 2021·International Journal of Clinical Oncology·Giulio FrancoliniStefano Arcangeli

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