A comparison of robotic and open retroperitoneal lymph node dissection in a centralised single surgeon post-chemotherapy surgical practice
BAUS ePoster online library. Thomas B. Jun 27, 2018; 211375
Mr. Benjamin Thomas
Mr. Benjamin Thomas
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Abstract
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Aims: To compare the outcomes of patients undergoing robotic retroperitoneal lymph node dissection (RPLND) to patients who had an open RPLND in a predominantly post-chemotherapy single surgeon surgical practice.

Methods: We compared the peri-operative and pathological outcomes of all patients undergoing post- chemotherapy open RPLND (55 patients) and robotic RPLND (10 patients) by a single surgeon. A matched pair analysis of patients who had an open RPLND (20 patients) for the same inclusion criteria for robotic RPLND was performed.

Results: 65 of 67 patients had a post-chemotherapy RPLND. Ten patients had a robotic RPLND and 55 patients had an open RPLND. There were significant differences in median operative duration (150 vs 240 minutes p<0.0001), estimated blood loss (50 vs 1000mls, p<0.0001) and length of stay (1 vs 6 days, p<0.0001) in favour of robotic RPLND. There were no conversions in the robotic RPLND group. A matched pair analysis of 20 patients who had an open RPLND showed median operative duration (153 vs 195 minutes, p<0.0001), estimated blood loss (50 vs 400mls, p=0.03) and length of stay (1 vs 5 days, p<0.0001) were all reduced in patients having robotic RPLND.
One patient in the robotic RPLND group and two patients in the open RPLND group had chylous ascites requiring percutaneous drainage and dietary modification.

Conclusion: Robotic RPLND may have a role in selected patients with retroperitoneal disease, including in the post-chemotherapy setting. There are potential benefits with operative duration, length of stay and blood loss with the robotic approach.
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