Castillo O, Wöhler C, Mayanz M, Van Cauwelaert R, Muñoz V, Aguirre C, Oñate R, Azócar G, Arellano L
Unidad de Urología, Anestesiología y Anatomía Patológica, Clínica Santa María, Santiago de Chile.
Rev Med Chil. 1994 Mar;122(3):313-8.
Lumboaortic lymphadenectomy is a therapeutic alternative for patients with nonseminomatous testis tumors and its principal untoward effect is the loss of ejaculation. The anatomic knowledge of lymph node metastasis allows lower limit definition of aortic dissection, maintaining the diagnostic sensitivity and ejaculation. We report three patients with nonseminomatous testis tumors subjected to a reduced video-laparoscopic lumboaortic lymphadenectomy. An adequate amount of tissue was obtained in all and lymph node metastasis found in two. No complications occurred and patients were discharged 48 hours later. It is concluded that this technique is an alternative staging technique with low morbidity that allows a rapid patient discharge.
