Long&amp;ndash;Term Experience with Laparoscopic Retroperitoneal Lymph Node Dissection in the Management of Low&amp;ndash;Stage Testis Cancer

Rassweiler, Jens; Frede, Thomas; Lenz, Elke; Seemann, O.; Alken, P.

doi:10.1159/000052352

Cited by 81 publications

(11 citation statements)

References 41 publications

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“…144 Laparoscopic RPLND should not be considered a standard of care at the present time. [145][146][147] Resection of residual tumour outside the retroperitoneum should be considered on an individual basis. In most cases, the retroperitoneum should be operated on first.…”

Section: Post-chemotherapy Residual Masses: Nonseminomatous Germ Cellmentioning

confidence: 99%

Canadian consensus guidelines for the management of testicular germ cell cancer

Wood

Kollmannsberger

Jewett

et al. 2013

CUAJ

123

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Section: Post-chemotherapy Residual Masses: Nonseminomatous Germ Cellmentioning

confidence: 99%

Canadian consensus guidelines for the management of testicular germ cell cancer

Wood

Kollmannsberger

Jewett

et al. 2013

CUAJ

123

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“…Recently, many series have been comparing the morbidity, safety and oncological results of open and laparoscopic approaches to RPLND with similar results [15,18,21] . Our experience is limited to open surgeries for advanced neoplasms and laparoscopy approach has been reserved for selected cases.…”

Section: Resultsmentioning

confidence: 99%

Perioperative data for retroperitoneal lymph node dissection in patients with nonseminomatous testicular cancer: Retrospective analysis from a single institution

Miranda

Abe

Nesrallah

et al. 2013

JST

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Background: The aim of this study is to evaluate perioperative morbidity of retroperitoneal lymph node dissection (RPLND) in patients with germ cell tumors in a reference center for cancer in Brazil. Methods:We performed a retrospective analysis of all patients from our computerized database from all patients who underwent RPLND. Intraoperative variables such as surgical time, blood loss, length of hospital stay, number of blood units required and associated procedures were evaluated.Results: A total of 28 cases were reviewed. The mean age was 27.8 years. The average operating time was 308 minutes. The blood loss averaged 865 ml. The average hospital stay was 6 days. As to the magnitude of the dissection, in 16 (57.1%) cases a nerve-sparing technique was applied. 39.2% of patients experienced at least one associated procedure. Conclusions:Retroperitoneal lymph node dissection is still a high morbidity procedure but necessary to obtain oncologic control in high-risk cases, even in those with metastatic disease.

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“…In our study, a retroperitoneal approach from the right side was used to complete the laparoscopic procedure. This approach has been used previously in retroperitoneal lymph-node dissection for nonseminomatous germ-cell tumors, and its feasibility and efficacy for extensive lymphadenectomy have been demonstrated [9,10]. It provides direct access to the IVC and its confluent branches, including the renal veins, lumbar veins and GV.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Laparoscopic Reimplantation of the Left Renal Vein for Nutcracker Syndrome

Shao

Li²,

Ju³

et al. 2014

Urol Int

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Objective: To describe the feasibility of retroperitoneal laparoscopic reimplantation of the left renal vein (LRV) for nutcracker syndrome (NCS). Patients and Methods: Two patients with NCS underwent the surgery. Both patients complained of gross hematuria and flank discomfort that could not be relieved by resting. They were placed in a supine position and 5 ports were placed in the right abdominal wall. The procedures were performed with a retroperitoneal approach. The LRV was transected and then reimplanted into the distal inferior vena cava. Results: The procedures were performed successfully without any major complications. The total operation time was 105 and 120 min, respectively. Hematuria and flank discomfort were resolved after the surgery. Ultrasonography revealed a patent lumen without compression. Conclusions: Retroperitoneal laparoscopic reimplantation of the LRV appears to be a feasible procedure with satisfactory short-term outcomes.

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Long–Term Experience with Laparoscopic Retroperitoneal Lymph Node Dissection in the Management of Low–Stage Testis Cancer

Cited by 81 publications

References 41 publications

Canadian consensus guidelines for the management of testicular germ cell cancer

Canadian consensus guidelines for the management of testicular germ cell cancer

Perioperative data for retroperitoneal lymph node dissection in patients with nonseminomatous testicular cancer: Retrospective analysis from a single institution

Retroperitoneal Laparoscopic Reimplantation of the Left Renal Vein for Nutcracker Syndrome

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