Premium
A comparative analysis of robotic vs laparoscopic retroperitoneal lymph node dissection for testicular cancer
Author(s) -
Harris Kelly T.,
Gorin Michael A.,
Ball Mark W.,
Pierorazio Phillip M.,
Allaf Mohamad E.
Publication year - 2015
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.13121
Subject(s) - medicine , retroperitoneal lymph node dissection , testicular cancer , perioperative , laparoscopy , dissection (medical) , lymph node , general surgery , surgery , chemotherapy
Objective To compare the safety and perioperative outcomes of robotic retroperitoneal lymph node dissection (R‐ RPLND ) vs laparoscopic RPLND (L‐ RPLND ). Patients and Methods Our Institutional Review Board‐approved retrospective testicular cancer registry was queried for patients who underwent a primary unilateral R‐ RPLND or L‐ RPLND by a single surgeon for a stage I testicular non‐seminomatous germ cell tumour. Groups were compared for differences in baseline and outcome variables. Results Between July 2006 and July 2014, 16 R‐ RPLND and 21 L‐ RPLND cases were performed by a single surgeon. Intra‐ and perioperative outcomes including operative time, estimated blood loss, lymph node yield, complicate rate, and ejaculatory status were similar between groups (all P > 0.1). Conclusions As an early checkpoint, R‐ RPLND appears comparable to L‐ RPLND in terms of safety and perioperative outcomes. It remains unclear if R‐ RPLND offers any tangible benefits over standard laparoscopy.