We present the case of a 24-year-old male who underwent a laparoscopic left retroperitoneal lymph node dissection for lymph node metastasis detected at the staging CT-scan after a radical left orchifuniculectomy for a non seminomatous testicular tumor (pT2, Stage IIB). The procedure started by obtaining exposure of the left retroperitoneal space by left colon mobilization. The dissection was carried out from the iliac bifurcation to the left renal vein, highlighting the anatomical landmarks of this procedure: iliac bifurcation, aortic plane, left ureter, left renal and gonadal vein. The postoperative course was uneventful and the patient was discharged on the 2nd postoperative day. At one year follow-up the patient was well, with no signs of cancer progression. Laparoscopy has been proven to be as good as the traditional technique in cancer control rates1, 2 , with the knowns advantages of a laparoscopic procedure for example for better pain control, reduction of morbidity and length of hospital stay3, 4 .
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. 2020 Jun 24 [Epub ahead of print]
L Bernardi, T Cipolat Mis, M Troian, N de Manzini
Department of General Surgery, ASUGI, Trieste, Italy.