Abstract

ESCALERA ALMENDROS, Carlos et al. Post chemotherapy laparoscopic retroperitoneal lymph node dissection. Arch. Esp. Urol. [online]. 2006, vol.59, n.5, pp.517-523. ISSN 0004-0614.

Objectives:To describe the laparoscopic excision of a postchemotherapy retroperitoneal residual mass in a patient with mixed germ cell testicular tumor. Methods/results: We report the operative technique of laparoscopic excision of a retroperitoneal mass in a 33 year old patient with mixed germ cell testicular tumor. The patient is placed in a lateral decubitus right lumbotomy position and trocars are introduced into the abdominal cavity. Once the retroperitoneum is approached, and after a Kocher manoeuvre of the duodenum, the interaortocaval mass is identified and excised. The operation is completed with lympadenectomy down to the common iliac artery bifurcation bilaterally. Conclusion: The laparoscopic approach is another option for the surgical treatment of residual masses after chemotherapy in testicular tumors. Nevertheless, previous laparoscopic experience is necessary due to its difficulty.

Keywords : Retroperitoneal lymphadenectomy; Laparoscopy.

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