Cargando…

Laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: A comparison of clinical and perioperative outcomes

OBJECTIVE: This study was performed to evaluate the clinical and perioperative outcomes of laparoscopic retroperitoneal lymph node dissection (L-RPLND) and open retroperitoneal lymph node dissection (O-RPLND) performed by one surgeon at a single center. METHODS: We evaluated 30 patients with stage I...

Descripción completa

Detalles Bibliográficos
Autores principales: Shishido, Toshihide, Okegawa, Takatsugu, Hayashi, Kenjiro, Masuda, Kazuki, Taguchi, Satoru, Nakamura, Yu, Tambo, Mitsuhiro, Fukuhara, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Second Military Medical University 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051357/
https://www.ncbi.nlm.nih.gov/pubmed/35509484
http://dx.doi.org/10.1016/j.ajur.2021.05.004
_version_ 1784696536376016896
author Shishido, Toshihide
Okegawa, Takatsugu
Hayashi, Kenjiro
Masuda, Kazuki
Taguchi, Satoru
Nakamura, Yu
Tambo, Mitsuhiro
Fukuhara, Hiroshi
author_facet Shishido, Toshihide
Okegawa, Takatsugu
Hayashi, Kenjiro
Masuda, Kazuki
Taguchi, Satoru
Nakamura, Yu
Tambo, Mitsuhiro
Fukuhara, Hiroshi
author_sort Shishido, Toshihide
collection PubMed
description OBJECTIVE: This study was performed to evaluate the clinical and perioperative outcomes of laparoscopic retroperitoneal lymph node dissection (L-RPLND) and open retroperitoneal lymph node dissection (O-RPLND) performed by one surgeon at a single center. METHODS: We evaluated 30 patients with stage IIA germ cell tumors who underwent retroperitoneal lymph node dissection (15 underwent L-RPLND and 15 underwent O-RPLND) at our institution between April 1, 2010 and March 31, 2018. The clinical parameters were compared between patients who underwent L-RPLND using the retroperitoneal approach and those who underwent O-RPLND using the transperitoneal approach. There were no significant differences in the background characteristics of the two groups except for the median follow-up duration (46 months for L-RPLND and 71 months for O-RPLND, p=0.02). RESULTS: L-RPLND was associated with a shorter mean operative time (mean 222 min for L-RPLND vs. 453 min for O-RPLND, p<0.001). There was significantly less blood loss during surgery in the L-RPLND group compared to the O-RPLND group (mean 165 mL for L-RPLND vs. 403 mL for O-RPLND, p<0.001). Parameters related to postoperative recovery were significantly better for the L-RPLND group than for the O-RPLND group. There were no differences in the histopathological characteristics between the two groups. No patients in either group exhibited disease recurrence. CONCLUSION: Patients who underwent L-RPLND had more rapid recovery, and shorter hospital stay compared to those who underwent O-RPLND; complications were comparable between the two groups. L-RPLND is an efficient procedure with the benefits of minimally invasive surgery.
format Online
Article
Text
id pubmed-9051357
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Second Military Medical University
record_format MEDLINE/PubMed
spelling pubmed-90513572022-05-03 Laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: A comparison of clinical and perioperative outcomes Shishido, Toshihide Okegawa, Takatsugu Hayashi, Kenjiro Masuda, Kazuki Taguchi, Satoru Nakamura, Yu Tambo, Mitsuhiro Fukuhara, Hiroshi Asian J Urol Original Article OBJECTIVE: This study was performed to evaluate the clinical and perioperative outcomes of laparoscopic retroperitoneal lymph node dissection (L-RPLND) and open retroperitoneal lymph node dissection (O-RPLND) performed by one surgeon at a single center. METHODS: We evaluated 30 patients with stage IIA germ cell tumors who underwent retroperitoneal lymph node dissection (15 underwent L-RPLND and 15 underwent O-RPLND) at our institution between April 1, 2010 and March 31, 2018. The clinical parameters were compared between patients who underwent L-RPLND using the retroperitoneal approach and those who underwent O-RPLND using the transperitoneal approach. There were no significant differences in the background characteristics of the two groups except for the median follow-up duration (46 months for L-RPLND and 71 months for O-RPLND, p=0.02). RESULTS: L-RPLND was associated with a shorter mean operative time (mean 222 min for L-RPLND vs. 453 min for O-RPLND, p<0.001). There was significantly less blood loss during surgery in the L-RPLND group compared to the O-RPLND group (mean 165 mL for L-RPLND vs. 403 mL for O-RPLND, p<0.001). Parameters related to postoperative recovery were significantly better for the L-RPLND group than for the O-RPLND group. There were no differences in the histopathological characteristics between the two groups. No patients in either group exhibited disease recurrence. CONCLUSION: Patients who underwent L-RPLND had more rapid recovery, and shorter hospital stay compared to those who underwent O-RPLND; complications were comparable between the two groups. L-RPLND is an efficient procedure with the benefits of minimally invasive surgery. Second Military Medical University 2022-04 2021-05-25 /pmc/articles/PMC9051357/ /pubmed/35509484 http://dx.doi.org/10.1016/j.ajur.2021.05.004 Text en © 2022 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Shishido, Toshihide
Okegawa, Takatsugu
Hayashi, Kenjiro
Masuda, Kazuki
Taguchi, Satoru
Nakamura, Yu
Tambo, Mitsuhiro
Fukuhara, Hiroshi
Laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: A comparison of clinical and perioperative outcomes
title Laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: A comparison of clinical and perioperative outcomes
title_full Laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: A comparison of clinical and perioperative outcomes
title_fullStr Laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: A comparison of clinical and perioperative outcomes
title_full_unstemmed Laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: A comparison of clinical and perioperative outcomes
title_short Laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: A comparison of clinical and perioperative outcomes
title_sort laparoscopic retroperitoneal lymph node dissection versus open retroperitoneal lymph node dissection for testicular cancer: a comparison of clinical and perioperative outcomes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051357/
https://www.ncbi.nlm.nih.gov/pubmed/35509484
http://dx.doi.org/10.1016/j.ajur.2021.05.004
work_keys_str_mv AT shishidotoshihide laparoscopicretroperitoneallymphnodedissectionversusopenretroperitoneallymphnodedissectionfortesticularcanceracomparisonofclinicalandperioperativeoutcomes
AT okegawatakatsugu laparoscopicretroperitoneallymphnodedissectionversusopenretroperitoneallymphnodedissectionfortesticularcanceracomparisonofclinicalandperioperativeoutcomes
AT hayashikenjiro laparoscopicretroperitoneallymphnodedissectionversusopenretroperitoneallymphnodedissectionfortesticularcanceracomparisonofclinicalandperioperativeoutcomes
AT masudakazuki laparoscopicretroperitoneallymphnodedissectionversusopenretroperitoneallymphnodedissectionfortesticularcanceracomparisonofclinicalandperioperativeoutcomes
AT taguchisatoru laparoscopicretroperitoneallymphnodedissectionversusopenretroperitoneallymphnodedissectionfortesticularcanceracomparisonofclinicalandperioperativeoutcomes
AT nakamurayu laparoscopicretroperitoneallymphnodedissectionversusopenretroperitoneallymphnodedissectionfortesticularcanceracomparisonofclinicalandperioperativeoutcomes
AT tambomitsuhiro laparoscopicretroperitoneallymphnodedissectionversusopenretroperitoneallymphnodedissectionfortesticularcanceracomparisonofclinicalandperioperativeoutcomes
AT fukuharahiroshi laparoscopicretroperitoneallymphnodedissectionversusopenretroperitoneallymphnodedissectionfortesticularcanceracomparisonofclinicalandperioperativeoutcomes