Abstract
Retroperitoneal lymph node dissection has a role in the staging and treatment of low stages nonseminomatous germ cell testicular cancer. Laparoscopic retroperitoneal lymph node dissection (LRPLND) mimics the open counterpart. However, concept and indications for LRPLND differ to some extent between Europe and US. In this chapter the European standpoint is discussed.The goal of diagnostic LRPLND is the removal of primary landing sites following the Weissbach and Boedefeld templates. In clinical stage II the goal of LRPLND is to reduce the number of cycles of chemotherapy and consequently its morbidity. In Stage II, the same templates are advised, although previous chemotherapy and extent of disease rend tissue identification more difficult than in stage I. Results of European series on clinical stage I/pathological stage II and pathological stage II after chemotherapy are discussed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Albers P, Albrecht W, Algaba F, Bokemeyer C, Cohn-Cedermark G, Horvich A et al (2009) EAU Working group on Testis Cancer. EAU guidelines on testicular cancer. In EAU-guidelines edition pp 1–46
Donohue JP, Thornhill JA, Foster RS et al (1995) The role of retroperitoneal lymphadenectomy in clinical stage B testis cancer: The Indiana University experience (1965 to 1989). J Urol 153:85–89
Holtl L, Peschel R, Knapp R, Janetschek G (2002) Primary lymphatic metastatic spread in testicular cancer occurs ventral to the lumbar vessels. Urol 59:114–118
Janetschek G, Hobisch A, Höltl L et al (1996) Retroperitoneal lymphadenectomy for clinical stage I nonseminomatous testicular tumor: Laparoscopy versus open surgery and impact of Iearning curve. J Urol 156:89–93
Javadpour N (1984) Predictors of recurrence in stage II non seminomatous testicular cancer after lymphadenectomy: Implications for adjuvant chemotherapy. J Urol 135:629
Pizzocaro G, Nicolai N, Salvioni R (1994) Evolution and controversies in the management of Iow- stage nonsemi nomatous germ-cell tumors of the testis. World J. Urol 12:113–119
Richie JP, Kantoff PW (1991) Is adjuvant chemotherapy necessary for patients with stage I testicular cancer? J Clin Oncol 9:1393–1396
Weissbach L, Boedefeld EA (1987) Testicular Tumor Study Group: Localization of solitary and multiple metastases in stage II nonseminomatous testis tumor as basis for a modified staging lymph node dissection in stage I. J Urol 138:77–82
Williams SD, Stablein DM, Einhorn LH, Muggia FM, Weiss RB, Donohue JP et al (1987) Immediate adjuvant chemotherapy versus observation with treatment at relapse in pathological stage II testicular cancer. N Engl J Med 317:1433–1438
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag London Limited
About this chapter
Cite this chapter
Janetschek, G., Zimmermann, R.P. (2011). Diagnostic and Therapeutic Laparoscopic Retroperitoneal Lymph Node Dissection in Low-Stage Nonseminomatous GCC: The European View. In: Laguna, M., Albers, P., Bokemeyer, C., Richie, J. (eds) Cancer of the Testis. Springer, London. https://doi.org/10.1007/978-1-84800-370-5_9
Download citation
DOI: https://doi.org/10.1007/978-1-84800-370-5_9
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-84800-369-9
Online ISBN: 978-1-84800-370-5
eBook Packages: MedicineMedicine (R0)