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Journal of Robotic Surgery

, Volume 10, Issue 4, pp 353–356 | Cite as

Post-chemotherapy robotic bilateral retroperitoneal lymph node dissection using a novel single-dock technique

  • Thomas E. Stout
  • Samit D. Soni
  • Alvin C. GohEmail author
Tips & Tricks

Abstract

There have been no previous reports of post-chemotherapy robotic bilateral retroperitoneal lymph node dissection (RPLND) using a single-dock technique. One deterrent of robotic RPLND is that accessing bilateral retroperitoneal spaces requires patient reposition and surgical robot redocking, therefore increasing operative time. Herein we provide the first step-by-step description of a single-dock technique for robotic bilateral RPLND in the post-chemotherapy setting. We describe port placement and technique for robot positioning to optimize access to bilateral retroperitoneal spaces with a single dock. We also demonstrate the feasibility of sparing the inferior mesenteric artery when utilizing this approach. This single-dock approach was used on two patients at our institution who had residual paracaval masses following chemotherapy for metastatic testicular cancer. Mean operative time was 6 h, and neither patient had significant blood loss or suffered from any peri-operative complications.

Keywords

Robotic surgery Retroperitoneal lymph node dissection Testicular cancer Surgical techniques 

Notes

Compliance with ethical standards

Conflict of interest

Alvin C. Goh is a proctor for Intuitive Surgical. Samit D. Soni, and Thomas E. Stout declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

11701_2016_622_MOESM1_ESM.mp4 (119.3 mb)
Video 1. Step-by-step instruction for single-dock robotic bilateral RPLND and initial peri-operative outcomes (MP4 122117 kb)

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Copyright information

© Springer-Verlag London 2016

Authors and Affiliations

  • Thomas E. Stout
    • 3
  • Samit D. Soni
    • 3
  • Alvin C. Goh
    • 1
    • 2
    Email author
  1. 1.Department of UrologyHouston Methodist HospitalHoustonUSA
  2. 2.Methodist Institute for Technology, Innovation and EducationHouston Methodist HospitalHoustonUSA
  3. 3.Scott Department of UrologyBaylor College of MedicineHoustonUSA

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