Arthur Smith Institute for Urology, North Shore/Long Island Jewish Health System, New Hyde Park, NY, USA.
BJU Int. 2010 Oct;106(7):950-9. doi: 10.1111/j.1464-410X.2010.09659.x.
• Laparoscopic retroperitoneal lymph node dissection (L-RPLND) was first introduced in 1992, initially as a staging procedure. • With advances in instrumentation and laparoscopic techniques, as well as improved understanding of laparoscopic anatomy, L-RPLND has developed to duplicate open RPLND. • Unlike the relatively rapid adoption of laparoscopy for other applications including nephrectomy and prostatectomy, L-RPLND has been slow to be universally accepted. • The limited numbers of patients requiring RPLND and technical challenges in performing the dissection have undoubtedly contributed to its delayed reception. • This review will present available data on this technique and discuss issues potentially inhibiting acceptance by traditional surgeons.
• 腹腔镜腹膜后淋巴结清扫术（L-RPLND）于 1992 年首次引入，最初作为一种分期手术。
• 随着仪器设备和腹腔镜技术的进步，以及对腹腔镜解剖学的深入了解，L-RPLND 已经发展到可以复制开放 RPLND。
• 与腹腔镜在包括肾切除术和前列腺切除术等其他应用中的快速普及不同，L-RPLND 被广泛接受的速度较慢。
• 需要进行 RPLND 的患者数量有限，以及进行解剖的技术挑战无疑促成了它的延迟接受。
• 本综述将介绍该技术的现有数据，并讨论可能抑制传统外科医生接受该技术的问题。
