Gerber G S, Rukstalis D B
Department of Surgery, University of Chicago Pritzker School of Medicine, Illinois, USA.
Semin Surg Oncol. 1996 Mar-Apr;12(2):121-5. doi: 10.1002/(SICI)1098-2388(199603/04)12:2<121::AID-SSU6>3.0.CO;2-B.
Laparoscopic retroperitoneal lymph node dissection is a new surgical procedure used to enhance staging in men with clinical stage I nonseminomatous germ cell tumors of the testis. The procedure has been performed in a limited number of patients at several centers with extensive laparoscopic experience. Laparoscopic retroperitoneal lymphadenectomy is a technically demanding procedure which can be successfully completed in the majority of patients. However, the risk of complications is greater than in patients who undergo standard open retroperitoneal lymph node dissection. The primary advantage of a laparoscopic approach is shortened hospitalization and rapid return to normal activity. The role of laparoscopy in the management of patients with testis malignancy has not been defined. The use of this staging procedure may help minimize the need for surveillance studies following surgery and may be best utilized in men with a lower likelihood of nodal metastases. Ultimately, prospective study in large groups of patients will be necessary to determine the role of laparoscopic retroperitoneal lymph node dissection in patients with testis cancer.
腹腔镜腹膜后淋巴结清扫术是一种新的外科手术，用于提高临床I期睾丸非精原细胞性生殖细胞肿瘤男性患者的分期准确性。该手术已在少数几个有丰富腹腔镜经验的中心的有限数量患者中开展。腹腔镜腹膜后淋巴结切除术是一项技术要求较高的手术，大多数患者能够成功完成。然而，其并发症风险高于接受标准开放性腹膜后淋巴结清扫术的患者。腹腔镜手术方法的主要优点是缩短住院时间并能迅速恢复正常活动。腹腔镜检查在睾丸恶性肿瘤患者管理中的作用尚未明确。这种分期手术的应用可能有助于减少术后监测研究的必要性，并且可能最适合用于淋巴结转移可能性较低的男性患者。最终，有必要对大量患者进行前瞻性研究，以确定腹腔镜腹膜后淋巴结清扫术在睾丸癌患者中的作用。
