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Laparoscopic and robotic postchemotherapy retroperitoneal lymph node dissection

Kunit, Thomas; Janetschek, Günter

doi: 10.1097/MOU.0000000000000028
MINIMALLY INVASIVE UROLOGIC ONCOLOGY: Edited by Inderbir S. Gill
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Purpose of review Open surgical postchemotherapy retroperitoneal lymph node dissection remains the standard of care. On the contrary, laparoscopy is an emerging technique and reports of laparoscopic lymph node dissection postchemotherapy are increasing. Our purpose is to present indications, technique and outcomes of laparoscopic postchemo retroperitoneal lymph node dissection.

Recent findings With growing expertise and knowledge the morbidity of the laparoscopic approach is much reduced compared with open surgery with the same oncological outcome. Robotic surgery is a more recent approach with growing usage in urology. However, no reports of robotic postchemotherapy lymph node dissection are available.

Summary In expert hands laparoscopic lymph node dissection is a feasible technique, offering less morbidity to patients with good oncological results.

Department of Urology and Andrology, Paracelsus Medical University Salzburg, Salzburg, Austria

Correspondence to Thomas Kunit, MD, Department of Urology and Andrology, Paracelsus Medical University Salzburg, Müllner Hauptstr. 48, Salzburg 5020, Austria. Tel: +43 662 4482 57439; fax: +43 662 4482 2971; e-mail: t.kunit@salk.at

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