Retroperitoneal lymph node dissection (RPLND) for testicular cancer can be a challenging surgery, even for the most experienced urologic oncologists. In part one of this special two-part series, host Dr. Aditya Bagrodia invites Society of Urologic Oncologists (SUO) members Dr. Timothy Masterson (Indiana University) and Dr. Robert Hamilton (Princess Margaret Hospital/University of Toronto) to cover current approaches to post-chemotherapy RPLND.

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SYNPOSIS

First, the urologists delve into the technical considerations and perioperative planning for post-chemotherapy retroperitoneal lymph node dissections (RPLND) in patients with germ cell tumors. They discuss the importance of patient preparation, imaging assessments, and surgical approaches. Additionally, they explain their own surgical techniques as well as tips for dealing with operative complications. To end, their discussion addresses the importance of a multidisciplinary team and practical tips for ensuring successful surgical outcomes.

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TIMESTAMPS

00:00 - Introduction

01:37 - Preparing for Post-Chemotherapy RPLND

08:10 - Intraoperative Considerations

11:02 - Handling Complications

20:11 - Vascular Anatomy and Preoperative Planning

27:13 - Anesthesia Considerations and Pain Management

29:22 - Essential Tools and Techniques for Surgery

38:24 - Incision Strategies and Post-Chemotherapy Considerations

46:32 - Extraperitoneal Approach and Future Research

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RESOURCES

Society of Urologic Oncologists

https://suonet.org/home.aspx