title: Robotic Retroperitoneal Lymph Node Dissection in Advanced Stage Disease.
abstract: OBJECTIVE
  The current report describes the feasibility of robotic retroperitoneal lymph node dissection (RRPLND), including some technical tricks for port placement for both right- and left-sided surgery.
  
  
  METHODS
  Patients with advanced stage retroperitoneal disease underwent RRPLND using the 4-arm da Vinci Si Surgical System (Intuitive Surgical, Inc.). In both cases, the field of dissection was an ipsilateral template for lymph node dissection.
  
  
  RESULTS
  RRPLND in such configuration was safe and effective in both cases. The illustrated port placement with perpendicular docking of the robot allowed for a wide range of motion with limited external clashing, providing sufﬁcient space for the assistant surgeon. The operative time was 300 min (including docking and console time), with no perioperative complications and short hospital stay.
  
  
  CONCLUSIONS
  The port configuration for right- or left-sided unilateral template RRPLND was feasible, permitting a wide range of motion for the robotic arms and thus facilitating an efficient and safe dissection.
authors.affiliation: Department of Urology, Perugia Hospital, University of Perugia, Perugia, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Mearini
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Nunzi
authors.forename: Manuel
authors.initials: M
authors.lastname: Di Biase
authors.forename: Elisa
authors.initials: E
authors.lastname: Silvi
authors.forename: Ilaria
authors.initials: I
authors.lastname: Sabatini
authors.forename: Massimo
authors.initials: M
authors.lastname: Porena
mesh_terms: D006801:Humans; D007902:Length of Stay; D008197:Lymph Node Excision; D061646:Operative Time; D065287:Robotic Surgical Procedures; D012371:Robotics