Retroperitoneal lymph node dissection for testicular cancer. Indications for laparoscopy

摘要

abstract_textpThe strongest indication to perform retroperitoneal lymph node dissection (RPLND) in testicular cancer is for removal of residual disease after chemotherapy in advanced nonseminoma. As a primary option for stage I or small volume metastatic nonseminoma RPLND has lost its importance today. Nevertheless, especially these are the stages where surgery can be performed laparoscopically, while in cases of residual tumor resection only small residuals can be removed with this technique. The oncological long-term results of laparoscopic RPLND are comparable to open surgery; nerve sparing is possible, provided that the surgeon has sufficient experience with laparoscopy. RPLND is not an operation to learn laparoscopy./p/abstract_text