Complications of primary retroperitoneal lymph-node dissection for low-stage testicular cancer

J. Baniel, Richard Foster, R. G. Rowland, Richard Bihrle, J. P. Donohue

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The surgical complications encountered in 478 patients who underwent primary retroperitoneal lymphnode dissection for clinical stage A and B nonseminomatous testicular cancer during the period ranging from 1982 to 1992 were reviewed. There were 54 complications in 51 patients (10.6%), and there was no surgery-related mortality. There were 16 minor complications and 38 major complications. The most frequent complication encountered was superficial wound infection, and many of the major complications were related to small-bowel obstruction and atelectasis. The incidence of complications was significantly lower in patients operated on during the last 6 years of the study (1987-1992). The complication rate was lower in patients who underwent modified unilateral procedures than in those who had bilateral dissections. The ejaculation rate of patients undergoing nervesparing procedures was 98%. This study reinforces the conclusion that primary retroperitoneal lymph-node dissection is an operation yielding minimal morbidity and no long-standing effect.

Original languageEnglish
Pages (from-to)139-142
Number of pages4
JournalWorld Journal of Urology
Volume12
Issue number3
DOIs
StatePublished - Jun 1994

Fingerprint

Testicular Neoplasms
Lymph Node Excision
Dissection
Ejaculation
Pulmonary Atelectasis
Wound Infection
Morbidity
Mortality
Incidence

ASJC Scopus subject areas

  • Urology

Cite this

Complications of primary retroperitoneal lymph-node dissection for low-stage testicular cancer. / Baniel, J.; Foster, Richard; Rowland, R. G.; Bihrle, Richard; Donohue, J. P.

In: World Journal of Urology, Vol. 12, No. 3, 06.1994, p. 139-142.

Research output: Contribution to journalArticle

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