title: Reoperative Retroperitoneal Surgery: Etiology and Clinical Outcome.
abstract: Retroperitoneal recurrences following retroperitoneal lymph node dissection (RPLND) are rare events and, with few exceptions, should be regarded as either surgical or technical failures, or a result of inappropriate modifications to the original RPLND template. Although not a substitute for an adequate initial RPLND, reoperative retroperitoneal surgery is a viable option for properly selected patients. In the hands of experienced surgeons at tertiary care centers, reoperative retroperitoneal surgery is associated with long-term survival in a significant proportion of patients, with an acceptable degree of morbidity.
authors.affiliation: Department of Urology, Columbia University Medical Center, New York Presbyterian Hospital, Herbert Irving Pavilion - 11th Floor, 161 Fort Washington Avenue, New York, NY 10032, USA.
authors.forename: Solomon L
authors.initials: SL
authors.lastname: Woldu
authors.affiliation: Department of Urology, Columbia University Medical Center, New York Presbyterian Hospital, Herbert Irving Pavilion - 11th Floor, 161 Fort Washington Avenue, New York, NY 10032, USA. Electronic address: jmm23@columbia.edu.
authors.forename: James M
authors.initials: JM
authors.lastname: McKiernan
mesh_terms: D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects / Q000379:methods; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D009367:Neoplasm Staging; D018365:Neoplasm, Residual / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D011379:Prognosis; D012086:Reoperation; D012187:Retroperitoneal Space / Q000473:pathology / Q000601:surgery; D016019:Survival Analysis; D013736:Testicular Neoplasms / Q000473:pathology / Q000628:therapy
keywords: Redo retroperitoneal lymph node dissection; Reoperative retroperitoneal lymph node dissection; Residual retroperitoneal mass; Retroperitoneal lymph node dissection; Testicular cancer