Robot-assisted laparoscopic retroperitoneal lymph node dissection in testicular cancer using a single-position supine approach: A case report and literature review
Abstract. This case study demonstrates a single-position supine approach for robotic retroperitoneal lymph node dissection (R-RPLDN) for the treatment of nonseminomatous germ cell tumors and residual masses after chemotherapy. We performed a bilateral R-RPLDN in a 33-year-old man with nonseminomatou...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2025-05-01
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| Series: | Current Urology |
| Online Access: | http://journals.lww.com/10.1097/CU9.0000000000000255 |
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| author | Lei Zhou Kun Yao Chao Li Wei Xiong Weibin Hou Bingzhi Wang Long Xu Long Wang |
| author_facet | Lei Zhou Kun Yao Chao Li Wei Xiong Weibin Hou Bingzhi Wang Long Xu Long Wang |
| author_sort | Lei Zhou |
| collection | DOAJ |
| description | Abstract. This case study demonstrates a single-position supine approach for robotic retroperitoneal lymph node dissection (R-RPLDN) for the treatment of nonseminomatous germ cell tumors and residual masses after chemotherapy. We performed a bilateral R-RPLDN in a 33-year-old man with nonseminomatous germ cell tumors and residual postchemotherapy masses. For this approach, the patient was placed in a steep Trendelenburg position, and a 5-port transperitoneal technique was used, with the robot docked so that the arms were oriented cephalad. This approach allowed simultaneous access to both sides of the retroperitoneum, thereby eliminating the need for bilateral lymphadenectomy and patient repositioning. Bilateral R-RPLDN was performed using a single-position supine approach. This versatile approach offers a less invasive, more efficient, and safer solution for removing residual postchemotherapy testicular cancer masses. |
| format | Article |
| id | doaj-art-7c19371ef52e459284c7bba581c459d5 |
| institution | Kabale University |
| issn | 1661-7649 1661-7657 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Current Urology |
| spelling | doaj-art-7c19371ef52e459284c7bba581c459d52025-08-20T03:53:42ZengWolters Kluwer HealthCurrent Urology1661-76491661-76572025-05-0119323023410.1097/CU9.0000000000000255202505000-00014Robot-assisted laparoscopic retroperitoneal lymph node dissection in testicular cancer using a single-position supine approach: A case report and literature reviewLei Zhou0Kun Yao1Chao Li2Wei Xiong3Weibin Hou4Bingzhi Wang5Long Xu6Long Wang7a Department of Urology, The Third Xiangya Hospital, Central South University, Changsha, Chinaa Department of Urology, The Third Xiangya Hospital, Central South University, Changsha, Chinaa Department of Urology, The Third Xiangya Hospital, Central South University, Changsha, Chinaa Department of Urology, The Third Xiangya Hospital, Central South University, Changsha, Chinaa Department of Urology, The Third Xiangya Hospital, Central South University, Changsha, Chinaa Department of Urology, The Third Xiangya Hospital, Central South University, Changsha, Chinab Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Chinaa Department of Urology, The Third Xiangya Hospital, Central South University, Changsha, ChinaAbstract. This case study demonstrates a single-position supine approach for robotic retroperitoneal lymph node dissection (R-RPLDN) for the treatment of nonseminomatous germ cell tumors and residual masses after chemotherapy. We performed a bilateral R-RPLDN in a 33-year-old man with nonseminomatous germ cell tumors and residual postchemotherapy masses. For this approach, the patient was placed in a steep Trendelenburg position, and a 5-port transperitoneal technique was used, with the robot docked so that the arms were oriented cephalad. This approach allowed simultaneous access to both sides of the retroperitoneum, thereby eliminating the need for bilateral lymphadenectomy and patient repositioning. Bilateral R-RPLDN was performed using a single-position supine approach. This versatile approach offers a less invasive, more efficient, and safer solution for removing residual postchemotherapy testicular cancer masses.http://journals.lww.com/10.1097/CU9.0000000000000255 |
| spellingShingle | Lei Zhou Kun Yao Chao Li Wei Xiong Weibin Hou Bingzhi Wang Long Xu Long Wang Robot-assisted laparoscopic retroperitoneal lymph node dissection in testicular cancer using a single-position supine approach: A case report and literature review Current Urology |
| title | Robot-assisted laparoscopic retroperitoneal lymph node dissection in testicular cancer using a single-position supine approach: A case report and literature review |
| title_full | Robot-assisted laparoscopic retroperitoneal lymph node dissection in testicular cancer using a single-position supine approach: A case report and literature review |
| title_fullStr | Robot-assisted laparoscopic retroperitoneal lymph node dissection in testicular cancer using a single-position supine approach: A case report and literature review |
| title_full_unstemmed | Robot-assisted laparoscopic retroperitoneal lymph node dissection in testicular cancer using a single-position supine approach: A case report and literature review |
| title_short | Robot-assisted laparoscopic retroperitoneal lymph node dissection in testicular cancer using a single-position supine approach: A case report and literature review |
| title_sort | robot assisted laparoscopic retroperitoneal lymph node dissection in testicular cancer using a single position supine approach a case report and literature review |
| url | http://journals.lww.com/10.1097/CU9.0000000000000255 |
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