Post-chemotherapy robotic bilateral retroperitoneal lymph node dissection using a novel single-dock technique

Thomas E. Stout, Samit D. Soni, Alvin C. Goh

Research output: Contribution to journalArticle

4 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalJournal of Robotic Surgery
DOIs
StateAccepted/In press - Jul 26 2016

Keywords

  • Retroperitoneal lymph node dissection
  • Robotic surgery
  • Surgical techniques
  • Testicular cancer

ASJC Scopus subject areas

  • Surgery
  • Health Informatics

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