Abstract
The authors demonstrated that L-RPLND with a nerve-sparing technique is feasible in five carefully selected patients with minimal retroperitoneal disease. They noted that antegrade ejaculation was preserved in all 5 patients, no intraoperative complications occurred, the mean operative time was 3.2 hours, and the mean hospital stay was 3.7 days. This report adds to the growing literature that shows that after a long and steep learning curve, perioperative morbidity, operative blood loss, and length of hospital stay are reduced compared with those of open surgery in the hands of dedicated experts. 1 Janetschek G. Hobish A. Holtl L. et al. Retroperitoneal lymphadenectomy for clinical stage I nonseminomatous testis tumor laparoscopy versus open surgery and impact of learning curve. J Urol. 1996; 156: 89-94 Abstract Full Text Full Text PDF PubMed Scopus (95) Google Scholar
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