Robotic-assisted retroperitoneal lymph node dissection (R-RPLND) is an emerging surgical option for testicular cancer with less morbidity than open RPLND. We outline the operative technique used at our center and review contemporary evidence in the advancement of R-RPLND.
R-RPLND is being applied effectively beyond clinical stage I testicular cancer to treat low-volume, clinical stage II disease in both the primary and postchemotherapy setting. Compared with the open approach, R-RPLND offers shorter hospitalization and less blood loss with comparably low complications and oncologic control.
With ongoing adoption and optimization of R-RPLND, future studies will assess long-term oncologic outcomes and disseminate R-RPLND in the treatment of testicular cancer.
Current opinion in urology. 2023 Apr 05 [Epub ahead of print]
Sofia Gereta, Michael Hung, Jim C Hu
Department of Surgery & Perioperative Care, University of Texas at Austin Dell Medical School, Austin, Texas., Department of Urology, New York-Presbyterian Weill Cornell Medical Center, New York, New York, USA.