[Post chemotherapy laparoscopic retroperitoneal lymph node dissection].
OBJECTIVE
To describe the laparoscopic excision of a postchemotherapy retroperitoneal residual mass in a patient with mixed germ cell testicular tumor.


RESULTS
We report the operative technique of laparoscopic excision of a retroperitoneal mass in a 33 year old patient with mixed germ cell testicular tumor. The patient is placed in a lateral decubitus right lumbotomy position and trocars are introduced into the abdominal cavity. Once the retroperitoneum is approached, and after a Kocher manoeuvre of the duodenum, the interaortocaval mass is identified and excised. The operation is completed with lympadenectomy down to the common iliac artery bifurcation bilaterally.


CONCLUSIONS
The laparoscopic approach is another option for the surgical treatment of residual masses after chemotherapy in testicular tumors. Nevertheless, previous laparoscopic experience is necessary due to its difficulty.
Escalera Almendros
Carlos
C
Servicio de Urología, Hospital Universitario de Getafe, Madrid, España.
Chiva Robles
Vicente
V
Pascual Mateo
Carlos
C
Rodríguez García
Nuria
N
García Tello
A
A
Berenguer Sánchez
Antonio
A
D000328:Adult; D003131:Combined Modality Therapy; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision / Q000379:methods*; D008297:Male; D018365:Neoplasm, Residual; D009373:Neoplasms, Germ Cell and Embryonal / Q000188:drug therapy* / Q000601:surgery*; D012187:Retroperitoneal Space; D013736:Testicular Neoplasms / Q000188:drug therapy* / Q000601:surgery*