Robot-Assisted Retroperitoneal Lymphadenectomy in Testicular Cancer Treatment: A Systematic Review.

Abstract

INTRODUCTION:

Retroperitoneal lymph node dissection (RPLND) in testicular cancer is a documented treatment along with active surveillance and chemotherapy. This study aims to summarize the current evidence on the use of Robot-assisted RPLND (RARPLND) in comparison with the laparoscopic and open approach.

MATERIALS AND METHODS:

A search was conducted in the existing literature focusing on reports with outcomes of RARPLND for stage I-IIB testicular tumor.

RESULTS:

Eleven studies complied with the inclusion criteria, including 116 patients. The average follow-up of 21.2 months showed no retroperitoneal recurrence. The median lymph node yield was 22.3 and the overall positive rate was 26%. Complications were encountered in 8% of the patients. The robotic approach showed similar results to the laparoscopic approach and outperformed the open procedure in perioperative parameters.

CONCLUSIONS:

Relapse-free survival, nodal yield, and complication rates during RARPLND for clinical stage I-IIB are acceptable. Further studies are required to establish these findings and determine benefit from the use of robotic approach.

• Authors: Aggelos Tselos, Demetrios Moris, Diamantis I Tsilimigras, Evangelos Fragkiadis, Eustratia Mpaili, Panagiotis Sakarellos, Michail Vailas, Kevin N Shah, Alexandros Papalampros
• Journal: Journal of laparoendoscopic & advanced surgical techniques. Part A (J Laparoendosc Adv Surg Tech A) Vol. 28 Issue 6 Pg. 682-689 (Jun 2018) ISSN: 1557-9034 [Electronic] United States
• PMID: 29474141 (Publication Type: Journal Article, Review, Systematic Review)

Topics

• Adult
• Humans
• Laparoscopy (adverse effects, methods)
• Length of Stay
• Lymph Node Excision (adverse effects, methods)
• Lymph Nodes (pathology, surgery)
• Male
• Middle Aged
• Operative Time
• Postoperative Complications (epidemiology, etiology)
• Retroperitoneal Space (surgery)
• Robotic Surgical Procedures (adverse effects, methods)
• Testicular Neoplasms (pathology, surgery)
• Treatment Outcome