Minimally Invasive Retroperitoneal Lymphadenectomy

被引:1
|
作者
Lusuardi, Lukas [1 ]
Kunit, Thomas [1 ]
Janetschek, Guenter [1 ]
机构
[1] Paracelsus Med Univ, Dept Urol, Mullner Hauptstr 48, A-5020 Salzburg, Austria
关键词
retroperitoneal lymphadenectomy; minimally invasive surgery; laparoscopic surgery; retroperitoneal lymph node dissection; LYMPH-NODE DISSECTION; GERM-CELL TUMORS; CLINICAL STAGE-I; EUROPEAN CONSENSUS CONFERENCE; POSITRON-EMISSION-TOMOGRAPHY; TESTICULAR CANCER; LAPAROSCOPIC RETROPERITONEAL; POSTCHEMOTHERAPY SEMINOMA; PATIENT SELECTION; RESIDUAL MASSES;
D O I
10.1089/end.2018.0164
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The feasibility of laparoscopic retroperitoneal lymphadenectomy (RLA) for testicular cancer was shown >25 years ago. Initially the indication was clinical stage I (CS I) nonseminomatous germ cell tumor (NSGCT). Compared with that of open surgery, the morbidity was much decreased. However, in Europe, surgery for CS I is now replaced by chemotherapy. A relatively new indication is laparoscopic retroperitonal lymphadenectomy for small unilateral residual tumor after chemotherapy. The technique of unilateral lymphadenectomy for both indications is described in detail and with a video. The most recent development is bilateral laparoscopic RLA for residual tumors larger than 5 cm.
引用
收藏
页码:S97 / S104
页数:8
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