Department of Urology, North Shore Long Island Jewish Health System, The Smith Institute for Urology, 450 Lakeville Road, Suite M41, New Hyde Park, NY 11040, USA.
Urol Clin North Am. 2011 Nov;38(4):451-8, vi. doi: 10.1016/j.ucl.2011.07.005. Epub 2011 Sep 23.
Testicular cancer is the most common solid organ malignancy in young men between the ages of 15 and 35. Although much of this increase in survival can be attributed to improvements in systemic chemotherapy, surgery retains a critical role in the diagnostic and therapeutic management of testicular cancer. Laparoscopic retroperitoneal lymph node dissection is an effective staging and therapeutic procedure in patients with low-stage testicular cancer. It is an attractive alternative to the open approach, with faster recovery, improved cosmesis, and reduced post-operative morbidity driving its application. In experienced hands, it can be used in postchemotherapy patients.
睾丸癌是 15 至 35 岁年轻男性中最常见的实体器官恶性肿瘤。尽管生存率的提高在很大程度上归因于系统化疗的进步，但手术在睾丸癌的诊断和治疗管理中仍然起着关键作用。腹腔镜腹膜后淋巴结清扫术是低分期睾丸癌患者的一种有效的分期和治疗方法。与开放手术相比，它具有更快的恢复、更好的美容效果和更低的术后发病率，因此具有吸引力。在有经验的医生手中，它可以用于化疗后的患者。
