retroperitoneal lymph node dissection
Surgical removal of lymph nodes behind the peritoneum, typically for testicular cancer staging or treatment.
Full Definition
A major surgical procedure involving the systematic removal of lymph nodes from the retroperitoneal space, primarily performed for testicular cancer management. The procedure can be therapeutic (removing known disease) or diagnostic (staging purposes). It may be performed through open, laparoscopic, or robot-assisted approaches. The extent of dissection varies based on tumor characteristics and may be unilateral or bilateral. Potential complications include injury to major vessels, loss of ejaculation, and bowel injury.
Usage
Usage note: Often abbreviated as RPLND in clinical notes. Specify unilateral vs bilateral and template vs modified approach.
In Context
- "Staging retroperitoneal lymph node dissection revealed two positive nodes." — Pathology report
- "The patient consented to retroperitoneal lymph node dissection after chemotherapy failure." — Informed consent documentation