{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T10:21:21Z","timestamp":1762078881113},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,7,20]],"date-time":"2006-07-20T00:00:00Z","timestamp":1153353600000},"content-version":"vor","delay-in-days":5101,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[1992,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In the period 1980\u20131991, 78 patients with advanced nonseminomatous testicular cancer underwent retroperitoneal lymphadenectomy for post\u2010chemotherapy residual masses &lt;2 cm. To decrease the frequency of \u201cdry ejaculation\u201d in these patients with no or limited residual disease, the extent of dissection was reduced during the period, with bilateral dissections (49 cases, 1980\u20131986) being initially replaced by unilateral procedures (19 cases, 1983\u20131990) and subsequently by nerve\u2010sparing techniques (10 cases, 1990\u20131991). As expected, a higher total number of lymph nodes was found in the retroperitoneal specimens after bilateral (44 (13\u2013100)) than after unilateral (21 (7\u201335)) and nerve\u2010sparing (18 (7\u201360)) procedures. The number of lymph nodes with pathological changes was low, with 3 (1\u201316) after bilateral, 2 (1\u20139) after unilateral, and 2 (1\u20134) after nerve\u2010sparing operations. Histological examination revealed only necrosis\/fibrosis in 65% of the patients, elements of mature teratoma in 28%, and remnants of viable malignant tumor in 6%. There were no major postoperative complications. \u201cDry ejaculation\u201d was reported by 84% of the patients with bilateral operations, but was generally avoided after the unilateral (16%) and nerve\u2010sparing (nil) procedures. After a mean follow\u2010up of 83 (5\u2013138) months, 6 patients have developed a recurrence, only one of them primarily in the retroperitoneal space. It is concluded that in patients with minimal residual retroperitoneal tumor, postchemotherapy lymphadenectomy using a unilateral or nerve\u2010sparing technique seems to offer an effective therapeutic alternative with acceptable postoperative morbidity and preserved ejaculation. \u00a9 1992 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/jso.2930500404","type":"journal-article","created":{"date-parts":[[2007,2,20]],"date-time":"2007-02-20T12:38:50Z","timestamp":1171975130000},"page":"220-223","source":"Crossref","is-referenced-by-count":9,"title":["Retroperitoneal surgery in patients with nonseminomatous testicular cancer and minimal residual tumor"],"prefix":"10.1002","volume":"50","author":[{"given":"Hanne","family":"Qvist","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie Dorothea","family":"Foss\u00e5","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sigurd","family":"Ous","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans H.","family":"Lien","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna E.","family":"Stenwig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl\u2010Erik","family":"Giercksky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,7,20]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)51910-2"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19850501)55:9<1874::AID-CNCR2820550905>3.0.CO;2-J"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)44439-9"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)39044-4"},{"key":"e_1_2_1_6_2","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/S0022-5347(17)38321-0","article-title":"Post\u2010chemotherapy tumor residuals in patients with advanced nonseminomatous testicular cancer. Is it necessary to resect all residual masses?","volume":"145","author":"Qvist HL","year":"1991","journal-title":"J Urol"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)54013-6"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.145.4.743"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)40892-5"},{"key":"e_1_2_1_10_2","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1200\/JCO.1992.10.1.85","article-title":"The second medical research council study of prognostic factors in non\u2010seminomatous germ cell tumours","volume":"10","author":"Mead GM","year":"1991","journal-title":"J Clin Oncol"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1992.10.4.569"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)52904-3"},{"key":"e_1_2_1_13_2","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/S0022-5347(17)39435-1","article-title":"Nerve\u2010preserving bilateral retroperitoneal lymphadenectomy: Anatomical study and operative approach","volume":"144","author":"Colleselli K","year":"1990","journal-title":"J Urol"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-81095-4_24"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)55029-6"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(81)90218-1"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)54255-X"},{"key":"e_1_2_1_18_2","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1016\/S0022-5347(17)47654-3","article-title":"Primary chemotherapy followed by a selective retroperitoneal lymphadenectomy in the management of clinical stage II testicular carcinoma: A preliminary report","volume":"134","author":"Logothetis CJ","year":"1985","journal-title":"J Urol"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)47252-1"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1985.tb06425.x"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)39681-7"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)42869-2"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)39434-X"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjso.2930500404","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.2930500404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T12:12:54Z","timestamp":1698149574000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.2930500404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,8]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1992,8]]}},"alternative-id":["10.1002\/jso.2930500404"],"URL":"https:\/\/doi.org\/10.1002\/jso.2930500404","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"value":"0022-4790","type":"print"},{"value":"1096-9098","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,8]]}}}