Robot-Assisted Retroperitoneal Lymph Node Dissection

  • Haidar M. Abdul-Muhsin
  • J. Joy Lee
  • James R. Porter
  • Erik P. CastleEmail author


Robot-assisted retroperitoneal lymph node dissection (RARPLND) is an evolving minimally invasive treatment option in testicular cancer. This procedure adheres to the oncological principles of open RPLND and should be performed by surgeons experienced with open RPLND whom routinely treat germ cell tumors and testicular cancer. This chapter will detail the steps required to conduct a successful and safe dissection and will highlight the necessary precautions that need to be undertaken to avoid certain complications.


Lymphadenectomy Retroperitoneal lymph node dissection Retroperitoneum Robotic surgery Testicular cancer 



Inferior mesenteric artery


Inferior vena cava


Lymph nodes


Robot-assisted retroperitoneal lymph node dissection

Supplementary material

Video 14.1

Interaortocava (MOV 235880 kb)

Video 14.2

Para-aortic nodes (MOV 242534 kb)

Video 14.3

Preaortic nodes (MOV 224199 kb)

Video 14.4

IVC mobilization (MOV 213386 kb)

Video 14.5

Paracava (MOV 210729 kb)

Video 14.6

Position and exposure (MOV 155294 kb)

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Haidar M. Abdul-Muhsin
    • 1
  • J. Joy Lee
    • 2
  • James R. Porter
    • 2
  • Erik P. Castle
    • 1
    Email author
  1. 1.Department of UrologyMayo Clinic HospitalPhoenixUSA
  2. 2.Department of UrologySwedish Medical CenterSeattleUSA

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