{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:37:43Z","timestamp":1777588663384,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2013,7,1]],"date-time":"2013-07-01T00:00:00Z","timestamp":1372636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Retroperitoneal lymph node dissection (RPLND) is performed in patients with advanced nonseminomatous (NSGCT) germ cell tumors and residual retroperitoneal mass post-chemotherapy. The extent of node dissection remains unclear. Ipsilateral template dissection is a compromise between morbidity and oncological efficacy. Here, we compare ipsilateral with primary bilateral laparoscopic (L)-RPLND after chemotherapy in terms of morbidity and oncological safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods:<\/jats:title>\n                    <jats:p>Nineteen laparoscopic ipsilateral L-RPLNDs (Group A) after platinum-based chemotherapy in patients with clinical stage IIA-III NSGCT were performed, while 20 patients underwent primary bilateral L-RPLND (Group B). We included patients with residuals localized in the retroperitoneum &gt;1\u2009cm and a tumor marker negativity after chemotherapy. The patients in group B had nerve sparing based on their respective tumor volume.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      All L-RPLND was successfully finished without conversion. Mean operative time in group A was 221 minutes and 270 minutes in group B (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.12). There were no deviations from the normal postoperative course in 36 cases. There was one Grade II complication (bleomycin-induced pneumonitis) in group A and 1 grade III complication (chylous ascites) in group B. The mean hospitalization time in both groups was 5 days (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.1). With regard to the overall rate of disease recurrence, no significant difference was found between both groups (HR=1.84; 95% CI 0.17\u201339.92;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.6109).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Postchemotherapy L-RPLND remains technically challenging. However, the morbidity of primary bilateral post-chemotherapy L-RPLND is similar to that of template dissection. Additional oncological safety is provided, which is particularly relevant in patients with more extensive retroperitoneal tumor volume.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2012.0648","type":"journal-article","created":{"date-parts":[[2013,3,21]],"date-time":"2013-03-21T09:41:52Z","timestamp":1363858912000},"page":"856-861","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Bilateral Laparoscopic Postchemotherapy Retroperitoneal Lymph-Node Dissection in Nonseminomatous Germ Cell Tumors\u2013a Comparison to Template Dissection"],"prefix":"10.1177","volume":"27","author":[{"given":"Stefan","family":"Aufderklamm","sequence":"first","affiliation":[{"name":"Eberhard Karls University","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tilman","family":"Todenh\u00f6fer","sequence":"additional","affiliation":[{"name":"Eberhard Karls University","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Hennenlotter","sequence":"additional","affiliation":[{"name":"Eberhard Karls University","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Gakis","sequence":"additional","affiliation":[{"name":"Eberhard Karls University","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Mischinger","sequence":"additional","affiliation":[{"name":"Eberhard Karls University","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Mundhenk","sequence":"additional","affiliation":[{"name":"Eberhard Karls University","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Germann","sequence":"additional","affiliation":[{"name":"Eberhard Karls University","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnulf","family":"Stenzl","sequence":"additional","affiliation":[{"name":"Eberhard Karls University","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Schwentner","sequence":"additional","affiliation":[{"name":"Eberhard Karls University","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,7,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3109\/02841861003782017"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20006"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.0441"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(05)70034-3"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08867.x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2011.10.004"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.09.027"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37036-2"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(01)80012-4"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/089277901300189538"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65948-2"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-012-2865-y"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10290.x"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.07754.x"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9584-y"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)42997-1"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)01827-7"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08862.x"},{"issue":"3","key":"e_1_3_2_20_2","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1016\/S0022-5347(01)67616-X","article-title":"Complications of post-chemotherapy retroperitoneal lymph node dissection","volume":"153","author":"Baniel J","year":"1995","unstructured":"Baniel J, , Foster RS, , Rowland RG, , Bihrle R, , Donohue JP. 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