Robotic retroperitoneal lymph node dissection for testicular cancer: Feasibility and latest outcomes

Harsha R. Mittakanti, James R. Porter

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations

Abstract

Purpose of reviewRobotic-assisted laparoscopic retroperitoneal lymph node dissection (R-RPLND) is gaining acceptance as an alternative to open and laparoscopic RPLND for the treatment of testicular cancer. We discuss the current state of R-RPLND and summarize the latest relevant literature regarding the feasibility of this operation.Recent findingsR-RPLND has been utilized effectively for both treatment of high-risk, clinical stage I testicular cancer as well as in the postchemotherapy setting. The feasibility of R-RPLND has been established with complication rates comparable to open RPLND and with decreased postoperative hospital stay and blood loss.SummaryAs R-RPLND continues to evolve and experience grows in high-volume centers, more information will be gained regarding long-term oncologic outcomes. Ultimately, head-to-head trials comparing R-RPLND to open RPLND will be needed to determine the role of R-RPLND in the treatment of testicular cancer.

Original languageEnglish
Pages (from-to)173-179
Number of pages7
JournalCurrent Opinion in Urology
Volume29
Issue number2
DOIs
StatePublished - Mar 1 2019

Keywords

  • retroperitoneal lymph node dissection
  • robotic surgery
  • testicular cancer

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