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Laparoscopic and robotic postchemotherapy retroperitoneal lymph node dissection.

Thomas Kunit1, Günter Janetschek

  • 1Department of Urology and Andrology, Paracelsus Medical University Salzburg, Salzburg, Austria.

Current Opinion in Urology
|January 22, 2014
PubMed
Summary
This summary is machine-generated.

Laparoscopic retroperitoneal lymph node dissection after chemotherapy offers reduced morbidity and similar oncological outcomes compared to open surgery. This minimally invasive technique is a feasible option for expert surgeons.

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Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Open surgical postchemotherapy retroperitoneal lymph node dissection is the current standard.
  • Laparoscopic techniques for this procedure are emerging and increasingly reported.

Purpose of the Study:

  • To present the indications, technique, and outcomes of laparoscopic postchemotherapy retroperitoneal lymph node dissection.

Main Methods:

  • Review of indications and techniques for laparoscopic postchemotherapy retroperitoneal lymph node dissection.
  • Analysis of outcomes comparing laparoscopic and open approaches.

Main Results:

  • Laparoscopic dissection, with growing expertise, shows reduced morbidity compared to open surgery.
  • Oncological outcomes are comparable between open and laparoscopic approaches.
  • Robotic surgery is a newer approach in urology, but not yet reported for postchemotherapy lymph node dissection.

Conclusions:

  • Laparoscopic retroperitoneal lymph node dissection is a feasible technique in experienced hands.
  • It offers decreased patient morbidity with favorable oncological results.