You have accessJournal of UrologyMale Voiding Dysfunction (BPH & Incontinence), Oncology & Prostate Cancer1 Apr 2011V375 LAPAROSCOPIC ROBOTIC ASSISTED RETROPERITONEAL LYMPHADENCTOMY IN PARATESTICULAR RABDOMIOSARCOMA Juan Palou, Lluís Gausa, Guillermo Urdaneta, Miriam Serrano, Oscar Rodríguez Faba, and Humberto Villavicencio Juan PalouJuan Palou Barcelona, Spain More articles by this author , Lluís GausaLluís Gausa Barcelona, Spain More articles by this author , Guillermo UrdanetaGuillermo Urdaneta Barcelona, Spain More articles by this author , Miriam SerranoMiriam Serrano Barcelona, Spain More articles by this author , Oscar Rodríguez FabaOscar Rodríguez Faba Barcelona, Spain More articles by this author , and Humberto VillavicencioHumberto Villavicencio Barcelona, Spain More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.462AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Retroperitoneal lymph node dissection is one of the steps in the management of testicular cancer. There is controversy as an staging/curative procedure in localized disease of the testis. Paratesticular tumours are very rare but when sarcoma is present, these are aggressive and metastatazing tumours. To show the feasibility of robotic assisted retroperitoneal lymphadenectomy as an staging procedure in a patient with persistence of disease in the scrotum after systemic treatment. METHODS A 17 year old man had been treated in another center of excision of a right paratesticular mass with a pathology of rabdomiosarcoma with positive margins. He received three cycles of chemotherapy (Adriamicyn, Ifosfamide, Vincristine) and then sent to our center. Body CT scan and bone scan were negative. Local excision of the testis and retroperitoneal robotic assisted lymphadenectomy was planned. The patient was positioned with right lateral position and four trocars were placed (one for the optics, two for the robot and one for the assistant). The dissection was started with the excision of the paracaval nodes from the external iliac artery to the renal vessels. Then we proceeded with the anterior and interaortocaval nodes. The retroperitoneal spermatic cord was completely excised. RESULTS The blood loss was negligible. The recovery was uneventful. The patient was discharged on day three. The pathology showed a mass of 13x3 mm paratesticular rabdomiosarcoma with margins negative and a no tumour in the retroperitoneal dissection (16 nodes). The patient received three more cycles of chemotherapy and local radiotherapy. CONCLUSIONS Retroperitoneal robotic assisted lymphadenectomy is a feasible and available technique for those who are used to robotic surgery. The possibility to have access to a close view and dissection of the retroperitoneal structures facilitates its feasibility. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e152 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Juan Palou Barcelona, Spain More articles by this author Lluís Gausa Barcelona, Spain More articles by this author Guillermo Urdaneta Barcelona, Spain More articles by this author Miriam Serrano Barcelona, Spain More articles by this author Oscar Rodríguez Faba Barcelona, Spain More articles by this author Humberto Villavicencio Barcelona, Spain More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...