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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