[Laparoscopic lymphadenectomy in the treatment of stage I non-seminomatous germ cell tumors].
OBJECTIVE
To review the role of laparoscopic lymphadenectomy for stage I nonseminomatous germ cell tumor of the testis.


METHODS
The current literature on this subject is reviewed and the advantages and disadvantages of this technique are discussed.


CONCLUSIONS
Although there is no agreement on the management of nonseminomatous germ cell tumors of the testis, some groups advocate performing retroperitoneal lymphadenectomy after orchidectomy, particularly for tumors with a high risk of dissemination. The laparoscopic approaches that were introduced basically in the 90's, have permitted performing surgical techniques with a low morbidity and a shorter recovery time. Laparoscopic retroperitoneal lymphadenopathy is one such technique. According to the experience of several groups, this technique has an acceptable operating time (approximately 5 hours), low complication rate and short hospital stay (2-5 days according to the different series). For those with experience in performing the laparoscopic approach, it is a therapeutic alternative that should be considered for this type of testicular tumor.
Hernández Fernández
C
C
Hospital General Universitario Gregorio, Marañón, Madrid, España.
Castaño González
I
I
Escribano Patiño
G
G
de Palacio España
A
A
D018237:Germinoma / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008197:Lymph Node Excision / Q000379:methods*; D008297:Male; D009367:Neoplasm Staging; D013736:Testicular Neoplasms / Q000473:pathology* / Q000601:surgery*