Laparoscopic retroperitoneal lymph node dissection is a minimally invasive surgical procedure that involves removal of the retroperitoneal lymph nodes in testicular cancer patients. It is suggested for those suffering from early-stage testicular cancer as an additional surgery following the treatment of testicular cancer. The procedure is performed under general anesthesia. Your surgeon makes 3 to 4 small incisions in the midline of the abdomen. A laparoscope (tube with a light and a miniature camera) is inserted to view the lymph nodes. Surgical instruments are inserted through the other incisions to remove the lymph nodes on the side of the testicular cancer. The blood supply to the affected testicles and the spermatic cord (consisting of blood vessels, nerves and a tube that carries sperm) may also be removed along with the lymph nodes. The abdominal incisions are closed with sutures. The length of the surgical procedure takes 3 to 5 hours.
Like all surgical procedures, laparoscopic retroperitoneal lymph node dissection may be associated with certain complications, which include:
The advantages of laparoscopic retroperitoneal lymph node dissection when compared to open surgery include:
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