Department of Urology and Andrology, Paracelsus Medical University Salzburg, Salzburg, Austria.
Curr Opin Urol. 2014 Mar;24(2):162-7. doi: 10.1097/MOU.0000000000000028.
Open surgical postchemotherapy retroperitoneal lymph node dissection remains the standard of care. On the contrary, laparoscopy is an emerging technique and reports of laparoscopic lymph node dissection postchemotherapy are increasing. Our purpose is to present indications, technique and outcomes of laparoscopic postchemo retroperitoneal lymph node dissection.
With growing expertise and knowledge the morbidity of the laparoscopic approach is much reduced compared with open surgery with the same oncological outcome. Robotic surgery is a more recent approach with growing usage in urology. However, no reports of robotic postchemotherapy lymph node dissection are available.
In expert hands laparoscopic lymph node dissection is a feasible technique, offering less morbidity to patients with good oncological results.
开放手术化疗后腹膜后淋巴结清扫仍然是标准的治疗方法。相反，腹腔镜是一种新兴技术，化疗后腹腔镜淋巴结清扫的报道越来越多。我们的目的是介绍腹腔镜化疗后腹膜后淋巴结清扫的适应证、技术和结果。
随着专业知识的增长，腹腔镜方法的发病率与开放手术相比大大降低，而肿瘤学结果相同。机器人手术是一种较新的方法，在泌尿科的应用越来越广泛。然而，目前还没有机器人化疗后淋巴结清扫的报道。
在专家手中，腹腔镜淋巴结清扫术是一种可行的技术，为患者提供了较低的发病率和良好的肿瘤学结果。
