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Post-chemotherapy robotic bilateral retroperitoneal lymph node dissection using a novel single-dock technique
- Source :
- Journal of robotic surgery. 10(4)
- Publication Year :
- 2016
-
Abstract
- There have been no previous reports of post-chemotherapy robotic bilateral retroperitoneal lymph node dissection (RPLND) using a single-dock technique. One deterrent of robotic RPLND is that accessing bilateral retroperitoneal spaces requires patient reposition and surgical robot redocking, therefore increasing operative time. Herein we provide the first step-by-step description of a single-dock technique for robotic bilateral RPLND in the post-chemotherapy setting. We describe port placement and technique for robot positioning to optimize access to bilateral retroperitoneal spaces with a single dock. We also demonstrate the feasibility of sparing the inferior mesenteric artery when utilizing this approach. This single-dock approach was used on two patients at our institution who had residual paracaval masses following chemotherapy for metastatic testicular cancer. Mean operative time was 6 h, and neither patient had significant blood loss or suffered from any peri-operative complications.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Operative Time
030232 urology & nephrology
Blood Loss, Surgical
Health Informatics
Antineoplastic Agents
Inferior mesenteric artery
03 medical and health sciences
Retroperitoneal lymph node dissection
0302 clinical medicine
Robotic Surgical Procedures
Testicular Neoplasms
medicine.artery
medicine
Retroperitoneal space
Humans
Robotic surgery
Retroperitoneal Space
Laparoscopy
Testicular cancer
Retrospective Studies
medicine.diagnostic_test
business.industry
Neoplasms, Germ Cell and Embryonal
medicine.disease
Surgery
medicine.anatomical_structure
030220 oncology & carcinogenesis
Lymphatic Metastasis
Operative time
Feasibility Studies
Lymph Node Excision
business
Subjects
Details
- ISSN :
- 18632491
- Volume :
- 10
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of robotic surgery
- Accession number :
- edsair.doi.dedup.....8a3887ed26b42437c6e8b4add99657aa