Linfadenectomía laparoscópica en el tratamiento de los tumores germinales no seminomatosos estadio I

CARLOS HERNÁNDEZ FERNÁNDEZ, IRENE CASTAÑO GONZÁLEZ, GREGORIO ESCRIBANO PATIÑO, ANDRÉS DE PALACIO ESPAÑA

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Archivos Españoles de Urología ›› 2000, Vol. 53 ›› Issue (6) : 500-504.
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Linfadenectomía laparoscópica en el tratamiento de los tumores germinales no seminomatosos estadio I

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Abstract

OBJECTIVE: To review the role oflaparoscopic lymphadenectomy for stage Inonseminomatous germ cell tumor of the testis.METHODS: The current literature on this subject isreviewed and the advantages and disadvantages of thistechnique are discussed.RESULTS/CONCLUSIONS: Although there is noagreement on the management of nonseminomatous germcell tumors of the testis, some groups advocate performingretroperitoneal lymphadenectomy after orchidectomy,particularly for tumors with a high risk of dissemination.The laparoscopic approaches that were introducedbasically in the 90’s, have permitted performing surgicaltechniques with a low morbidity and a shorter recoverytime. Laparoscopic retroperitoneal lymphadenopathy isone such technique. According to the experience of severalgroups, this technique has an acceptable operating time(approximately 5 hours), low complication rate and shorthospital stay (2-5 days according to the different series).For those with experience in performing the laparoscopicapproach, it is a therapeutic alternative that should beconsidered for this type of testicular tumor.

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Laparoscopy / Lymphadenectomy / Testis cancer

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CARLOS HERNÁNDEZ FERNÁNDEZ , IRENE CASTAÑO GONZÁLEZ , GREGORIO ESCRIBANO PATIÑO , ANDRÉS DE PALACIO ESPAÑA. Linfadenectomía laparoscópica en el tratamiento de los tumores germinales no seminomatosos estadio I. Archivos Españoles de Urología. 2000, 53(6): 500-504

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