A comparative analysis of robotic vs laparoscopic retroperitoneal lymph node dissection for testicular cancer

Kelly T. Harris, Michael A. Gorin, Mark W. Ball, Phillip M. Pierorazio, Mohamad E. Allaf

Research output: Contribution to journalArticle

Abstract

Objective To compare the safety and perioperative outcomes of robotic retroperitoneal lymph node dissection (R-RPLND) vs laparoscopic RPLND (L-RPLND). Patients and Methods Our Institutional Review Board-approved retrospective testicular cancer registry was queried for patients who underwent a primary unilateral R-RPLND or L-RPLND by a single surgeon for a stage I testicular non-seminomatous germ cell tumour. Groups were compared for differences in baseline and outcome variables. Results Between July 2006 and July 2014, 16 R-RPLND and 21 L-RPLND cases were performed by a single surgeon. Intra- and perioperative outcomes including operative time, estimated blood loss, lymph node yield, complicate rate, and ejaculatory status were similar between groups (all P > 0.1). Conclusions As an early checkpoint, R-RPLND appears comparable to L-RPLND in terms of safety and perioperative outcomes. It remains unclear if R-RPLND offers any tangible benefits over standard laparoscopy.

Original languageEnglish (US)
Pages (from-to)920-923
Number of pages4
JournalBJU International
Volume116
Issue number6
DOIs
StatePublished - Dec 2015

Keywords

  • RPLND
  • retroperitoneal lymph node dissection
  • robotic surgery
  • testicular cancer

ASJC Scopus subject areas

  • Urology

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