Endoskopie 2009; 18(3): 94-97
Laparoscopic modificated retroperitoneal lymph node dissection
- Urologická klinika 2. LF UK a FN Motol, Praha
Retroperitoneal lymph node dissection is a therapeutic method for extraction of lymph nodes as a first localization of distant metastasis
of most non-seminomatous testicular tumors. Before routine introduction of chemotherapy, retroperitoneal lymphadenectomy
was only therapy after radical orchiectomy in patiens with positive retroperitoneal lymph nodes. Adjuvant chemotherapy is the first
choice therapy in non-seminomatous testicular tumors at present, mostly for complexity and frequent complications of open retroperitoneal
lymphadenectomy. Introduction of modificated and nerve-sparing lymphadenectomy reduced late complications rate but
peroperative morbidity remains. Laparoscopic technique of lymphadenectomy affords advantages in postoperative course and reduces
morbidity.
Keywords: testicular tumor, retroperitoneal lymphadenectomy, laparoscopy, complications.
Published: October 16, 2009 Show citation
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