Kunit Thomas, Janetschek Günter
Department of Urology, Paracelsus Medical University Salzburg, Müllnerhauptstr 48, Salzburg 5020, Austria.
Department of Urology, Paracelsus Medical University Salzburg, Müllnerhauptstr 48, Salzburg 5020, Austria.
Urol Clin North Am. 2015 Aug;42(3):321-9. doi: 10.1016/j.ucl.2015.04.006. Epub 2015 Jun 19.
Although the standard approach of retroperitoneal lymphadnectomy (RLA) is open surgery, laparoscopy is an emerging technique in urology and reports of laparoscopic RLA are increasing. This article presents the indications, technique, and outcome of RLA as primary treatment and post-cisplatin-based chemotherapy by means of laparoscopy. In expert hands RLA is minimally invasive and reduces morbidity in comparison with open surgery, with the same oncologic outcome. However, patient selection is crucial.
尽管腹膜后淋巴结清扫术（RLA）的标准方法是开放手术，但腹腔镜手术是泌尿外科中一种新兴技术，关于腹腔镜RLA的报道也在不断增加。本文介绍了通过腹腔镜进行RLA作为主要治疗方法以及基于顺铂化疗后的适应症、技术和结果。在专家手中，与开放手术相比，RLA具有微创性且能降低发病率，同时肿瘤学结局相同。然而，患者的选择至关重要。
