Use of limited retroperitoneal lymphadenectomy in nonseminomatous germ cell tumors.
In an attempt to prevent ejaculatory dysfunction associated with retroperitoneal lymphadenectomy, the dissection has been modified to stay above the inferior mesenteric artery. Using this approach, there has been no adverse impact on survival (at least 18 months follow-up) in 18 patients with nonseminomatous germ cell tumors.
Sherlag
A P
AP
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
O'Brien
D P
DP
Graham
S D
SD
D004542:Ejaculation; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D012187:Retroperitoneal Space; D012735:Sexual Dysfunction, Physiological / Q000517:prevention & control; D013736:Testicular Neoplasms / Q000401:mortality / Q000601:surgery*; D013997:Time Factors