Laparoscopic lymphadenectomy for clinical stage I nonseminomatous testicular tumour

Autor: G. D'Aloia, Emanuele Belgrano, Francesca Plaino, Carlo Trombetta, G. Savoca, Salvatore Siracusano, G. De Giorgi, Marco Zanon
Rok vydání: 1996
Předmět:
Zdroj: Urologia Journal. 63:398-402
ISSN: 1724-6075
0391-5603
DOI: 10.1177/039156039606300325
Popis: We report our experience in laparoscopic lymphadenectomy in non-seminomatous stage I testicular neoplasia. This technique is an alternative to the formal retroperitoneal lymphadenectomy. Between 1993 and 1996 we carried out 8 retroperitoneal laparoscopic lymphadenectomies in patients, aged 19–40 years, affected by non-seminomatous testicular neoplasia. We removed from 13 to 24 lymph nodes. Operating time ranged between 200 and 300 minutes. The mean stay in hospital was 5 days. Histological findings revealed micrometastatic lymph nodes in half the patients. No complications were reported except in one patient, who underwent TC-guided drain owing to voluminous lymphocele one week after the laparoscopic operation. Normal antegrade ejaculation was preserved in all cases and no retroperitoneal recurrence was noted at a mean 18 months follow-up.
Databáze: OpenAIRE