Laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: A comparison of clinical and perioperative outcomes
| Autor: | Mitsuhiro Tambo, Takatsugu Okegawa, Kenjiro Hayashi, Satoru Taguchi, Yu Nakamura, Kazuki Masuda, Toshihide Shishido, Hiroshi Fukuhara |
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| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment 030232 urology & nephrology Perioperative medicine.disease Single Center Surgery 03 medical and health sciences Retroperitoneal lymph node dissection 0302 clinical medicine 030220 oncology & carcinogenesis medicine Operative time Germ cell tumors Stage (cooking) business Testicular cancer Retroperitoneal approach |
| Zdroj: | Asian Journal of Urology. 9:119-124 |
| ISSN: | 2214-3882 |
| DOI: | 10.1016/j.ajur.2021.05.004 |
| Popis: | Objective This study was performed to evaluate the clinical and perioperative outcomes of laparoscopic retroperitoneal lymph node dissection (L-RPLND) and open retroperitoneal lymph node dissection (O-RPLND) performed by one surgeon at a single center. Methods We evaluated 30 patients with stage IIA germ cell tumors who underwent retroperitoneal lymph node dissection (15 underwent L-RPLND and 15 underwent O-RPLND) at our institution between April 1, 2010 and March 31, 2018. The clinical parameters were compared between patients who underwent L-RPLND using the retroperitoneal approach and those who underwent O-RPLND using the transperitoneal approach. There were no significant differences in the background characteristics of the two groups except for the median follow-up duration (46 months for L-RPLND and 71 months for O-RPLND, p=0.02). Results L-RPLND was associated with a shorter mean operative time (mean 222 min for L-RPLND vs. 453 min for O-RPLND, p Conclusion Patients who underwent L-RPLND had more rapid recovery, and shorter hospital stay compared to those who underwent O-RPLND; complications were comparable between the two groups. L-RPLND is an efficient procedure with the benefits of minimally invasive surgery. |
| Databáze: | OpenAIRE |
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