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Paper Information

Title: 

LAPAROSCOPIC MODIFIED RETROPERITONEAL LYMPH NODE: DISSECTION FOR STAGE I NONSEMINOMATOUS TESTICULAR CARCINOMA: PRELIMINARY RESULTS IN 6 CASES

Type: PAPER
Author(s): SIMFOROOSH N.,MAGHSUDI R.*,BASIRI A.,SHARIFIAGHDAS F.,MOUSAPOUR E.,SHAFI H.
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PURPOSE: LAPAROSCOPIC RETROPERTITONEAL LYMPH NODE DISSECTIONS ARE USED FOR TESTICULAR CARCINOMA. MORE COMPLEX UROLOGIC PROCEDURESARE NOW BEING DONE WITH LAPAROSCOPY. WE PRESENT OUR INITIAL RESULTS OR LAPAROSCOPIC RPLND.
MATERIALS AND METHODS: FROM AUGUST 2002 TO MARCH 2003, SIX CONSECUTIVE PATIENTS UNDERWENT LAPAROSCOPIC RETROPERITONEAL LYMPH NODE DISSECTION WITH MODIFIED UNILATERAL TEMPLATE DISSECTION.
RESULTS: THE MEAN AGE AT THE TIME OF SURGERY WAS 22.6 YEARS (19 TO 27) MEAN OPERATIVE TIME WERE 330 MINUTE (RANGE 300 TO 360). ALL OPERATION WAS COMPLETED AS PLANNED. IN OUR CASES THERE WASN’T ANY CONVERSION, INTRAOPERATIVE COMPLICATION AND TRANSFUSION. MEAN POST OPERATIVE HOSPITAL STATION WAS 3.8 DAYS. THE ONLY POSTOPERATIVE COMPLICATION WAS CHYLOUS DRAINAGE, WHICH RESOLVED AFTER EXTRACTION OF DRAIN. EJACULATION WAS PRESERVED IN ALL PATIENTS LYMPH NODES WERE NEGATIVE IN ALL CASES. MEAN FOLLOW–IN PATIENTS WAS 6 MONTH (3-10).
CONCLUSION: LAPAROSCOPIC RETROPERITONEAL LYMPHADENECTOMY IS FEASIBLE PATIENT WITH NONSEMINOMATOUS STAGE I TESTICULAR CANCER AND SUPERIOR TO OPEN SURGERY BECAUSE IT’S LOW COMPLICATIONS.

 
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