retroperitoneal lymph node dissection
Surgical removal of lymph nodes from the retroperitoneal space, typically for testicular or other genitourinary cancers.
Full Definition
Retroperitoneal lymph node dissection (RPLND) involves the systematic removal of lymph nodes from the retroperitoneal compartment, most commonly performed for testicular germ cell tumors. This procedure requires extensive knowledge of retroperitoneal anatomy and carries risks of vascular injury, nerve damage affecting ejaculation, and intestinal complications. Modern nerve-sparing techniques have significantly reduced morbidity while maintaining oncological efficacy.
Usage
Usage note: Commonly abbreviated as RPLND in clinical documentation.
In Context
- "Bilateral retroperitoneal lymph node dissection was performed for residual retroperitoneal mass." — operative report
- "Nerve-sparing RPLND techniques preserve antegrade ejaculation in most patients." — surgical technique paper