V10-02 ROBOTIC RETROPERITONEAL LYMPH NODE DISSECTION FOR STAGE 1 NON-SEMINOMATOUS TESTICULAR CANCER: TECHNICALLY FEASIBLE WITH LEFT AND RIGHT MODIFIED TEMPLATES (2014)

You have accessJournal of UrologyBladder Oncology/Robotics1 Apr 2014V10-02 ROBOTIC RETROPERITONEAL LYMPH NODE DISSECTION FOR STAGE 1 NON-SEMINOMATOUS TESTICULAR CANCER: TECHNICALLY FEASIBLE WITH LEFT AND RIGHT MODIFIED TEMPLATES Jayram Krishnan, Dinesh Samarasekera, Maria Mir, Homayoun Zargar, Luis Felipe Brandao, Octay Akca, Riccardo Autorino, Humberto Laydner, Andrew Stephenson, Eric Klein, and Jihad Kaouk Jayram KrishnanJayram Krishnan More articles by this author , Dinesh SamarasekeraDinesh Samarasekera More articles by this author , Maria MirMaria Mir More articles by this author , Homayoun ZargarHomayoun Zargar More articles by this author , Luis Felipe BrandaoLuis Felipe Brandao More articles by this author , Octay AkcaOctay Akca More articles by this author , Riccardo AutorinoRiccardo Autorino More articles by this author , Humberto LaydnerHumberto Laydner More articles by this author , Andrew StephensonAndrew Stephenson More articles by this author , Eric KleinEric Klein More articles by this author , and Jihad KaoukJihad Kaouk More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2451AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robotic retroperitoneal lymph node dissection (RPLND) has not become widespread in current practice due to technical challenges. We report our experience for left and right sided node dissections for Stage 1 non-seminomatous germ cell tumors (NSGCT). Our step-by-step approach removes many of the technical challenges and allows for excellent oncologic outcomes with less morbidity compared to traditional RPLND. METHODS We present 2 cases of robotic RPLNDs for Stage 1 NSGCT, one on the left and another on the right. The patient is placed in the flank position with the bed flexed and in slight Trendelenberg. Camera and robotic ports were placed near the midline and two assistant ports were also utilized to assist with the dissection. The robot is docked perpendicular to the patient to facilitate adequate exposure and dissection along all major vessels. RESULTS Operative times were 180 minutes and 200 minutes for the left and right sides respectively. 20 nodes were harvested on the left and 17 nodes on the right. Estimated blood loss was 50 cc and 25 cc respectively. Both patients did well and were discharged on post-operative day 1 without perioperative complications. CONCLUSIONS Preventative RPLND in Stage 1 NSGCT can be performed robotically with full adherence to open oncologic principles. Our description of this technique allows for safe and meticulous dissection and removes many of the technical challenges previously described with robotic RPLND. © 2014FiguresReferencesRelatedDetails Volume 191 Issue 4S April 2014 Page: e906-e907 Advertisement Copyright & Permissions© 2014Metrics Author Information Jayram Krishnan More articles by this author Dinesh Samarasekera More articles by this author Maria Mir More articles by this author Homayoun Zargar More articles by this author Luis Felipe Brandao More articles by this author Octay Akca More articles by this author Riccardo Autorino More articles by this author Humberto Laydner More articles by this author Andrew Stephenson More articles by this author Eric Klein More articles by this author Jihad Kaouk More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...