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Related Experiment Video

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Robot-assisted retroperitoneal lymph node dissection (RA-RPLND) in the adolescent population.

A P Glaser1, D K Bowen1, B W Lindgren2

  • 1Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Journal of Pediatric Urology
|March 7, 2017
PubMed
Summary
This summary is machine-generated.

Robot-assisted retroperitoneal lymph node dissection (RA-RPLND) is feasible in adolescents for testicular cancer and other masses. Further research is needed to confirm long-term outcomes of this robotic technique.

Keywords:
Lymph node excisionPediatricsRoboticsTesticular neoplasmsUrological surgical procedures

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Area of Science:

  • Urology
  • Surgical Oncology
  • Robotic Surgery

Background:

  • Robot-assisted retroperitoneal lymph node dissection (RA-RPLND) builds upon laparoscopic techniques.
  • The da Vinci Xi® system offers enhanced benefits for RA-RPLND.

Purpose of the Study:

  • To demonstrate the use of the da Vinci Xi® system for RA-RPLND in adolescent patients.
  • To report on the feasibility and initial outcomes of RA-RPLND in two adolescent cases.

Main Methods:

  • RA-RPLND performed on two adolescent males using the da Vinci Xi® system.
  • Case 1: 17-year-old male with non-seminomatous germ cell tumor post-orchiectomy.
  • Case 2: 15-year-old male with ectomesenchymoma post-excision and orchiectomy.

Main Results:

  • Both procedures were nerve-sparing RA-RPLND (modified-template left, complete bilateral).
  • No tumor found in 16 (Case 1) and 42 (Case 2) dissected lymph nodes.
  • Minimal blood loss (<50 cc) and average console time of 262 minutes.

Conclusions:

  • RA-RPLND is technically feasible in the adolescent population.
  • Further studies are required to establish long-term outcomes for RA-RPLND in adolescents.
  • RA-RPLND adoption is increasing, necessitating outcome data.