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Robot-assisted retroperitoneal lymphadenectomy:The state of art

Asian Journal of Urology 2021年第1期8卷 27-37页

作者： Gilberto J.Rodrigues giuliano b.guglielmetti Marcelo Orvieto Kulthe Ramesh Seetharam bhat Vipul R.Patel Rafael F.Coelho Sao Paulo State Cancer Institute University of Sao Paulo School of MedicineSao PauloBrazil Clı´nica Alemana SantiagoChile Department of Urology AdventHealth Global Robotics InstituteCelebrationFLUnited States

Objective:To perform a narrative review about the role of robot-assisted retroperitoneal lymphadenectomy(R-RPLND)in the management of testicular ***:A PubMed search for all relevant publications regarding the R-RPLND series up until August 2019 was *** largest series were identified,and weighted means calculated for outcomes using the number of patients included in each study as the weighting ***:Fifty-six articles of R-RPLND were identified and eight series with more than 10 patients in each were *** weighted mean age was 31.12 years;primary and post chemotherapy R-RPLND were performed in 50.59%and 49.41%of *** clinical stage was I,II and III in 47.20%,39.57%and 13.23%of patients.A modified R-RPLND template was used in 78.02%of patients,while 21.98%underwent bilateral full *** weighted mean node yield,operative time and estimated blood loss were,respectively,22.15 nodes,277.35 min and 131.94 *** weighted mean length of hospital stay was 2 days and antegrade ejaculation was preserved in 92.12%of *** post-operative complications(Clavien III or IV)occurred in 5.34%.Positive pathological nodes were detected in 24.54%,while the recurrence free survival was 95.77%with a follow-up of 21.81 ***:R-RPLND has proven to be a reproducible and safe approach in experienced centers;short-term oncologic outcomes are similar to the open approach with less morbidity and shorter convalescence related to its minimal ***,longer follow-up and new trials comparing head-to-head both techniques are expected.

关键词： Testicular neoplasms Lymphadenectomy Robotic surgical procedures

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