{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T02:50:50Z","timestamp":1792205450442,"version":"4.4.0"},"reference-count":82,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T00:00:00Z","timestamp":1678320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the safety and feasibility of robot\u2010assisted retroperitoneal lymph node dissection (R\u2010RPLND) and to compare the perioperative outcomes of R\u2010RPLND with open RPLND (O\u2010RPLND), as RPLND forms an integral part of the management of testis cancer and R\u2010RPLND is a minimally invasive treatment option for this disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      The PubMed\n                      <jats:sup>\u00ae<\/jats:sup>\n                      , Scopus\n                      <jats:sup>\u00ae<\/jats:sup>\n                      , Cochrane Central Register of Controlled Trials, and Web of Science\u2122 databases were searched for studies reporting perioperative outcomes of primary and post\u2010chemotherapy R\u2010RPLND and studies comparing R\u2010RPLND with O\u2010RPLND.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The search yielded 42 articles describing R\u2010RPLND, including five comparative studies. The systematic review included 4222 patients (single\u2010arm studies,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u2009459; comparative studies,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u20093763). Of 459 patients in the single\u2010arm studies, 271 underwent primary R\u2010RPLND and 188 underwent post\u2010chemotherapy R\u2010RPLND. For primary R\u2010RPLND, the operative time ranged from 175 to 540\u2009min and the major complication rate was 4.1%. For post\u2010chemotherapy R\u2010RPLND, the operative time ranged from 134 to 550\u2009min and the major complication rate was 8.5%. The conversion rate to open surgery was 2.2% in primary R\u2010RPLND and 9.0% in post\u2010chemotherapy R\u2010RPLND. In comparison with O\u2010RPLND, R\u2010RPLND was associated with a lower transfusion rate (14.5% vs 0.9%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u20090.001) and a lower complication rate (18.5% vs 7.8%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robot\u2010assisted RPLND has acceptable perioperative outcomes in both the primary and post\u2010chemotherapy settings but a notable rate of conversion to open surgery in the post\u2010chemotherapy setting. Compared with O\u2010RPLND, R\u2010RPLND is associated with a lower transfusion rate and fewer overall complications. Given the potential impact of selection bias, the optimal patient selection criteria for R\u2010RPLND remain to be elucidated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15986","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T20:18:11Z","timestamp":1675887491000},"page":"9-30","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Robot\u2010assisted retroperitoneal lymph node dissection: a systematic review of perioperative outcomes"],"prefix":"10.1111","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4762-2523","authenticated-orcid":false,"given":"Harshit","family":"Garg","sequence":"first","affiliation":[{"name":"Department of Urology University of Texas Health  San Antonio TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed M.","family":"Mansour","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Health  San Antonio TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah P.","family":"Psutka","sequence":"additional","affiliation":[{"name":"Department of Urology University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon P.","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Urology University of Colorado\u2010Denver  Denver CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9275-4552","authenticated-orcid":false,"given":"James","family":"Porter","sequence":"additional","affiliation":[{"name":"Department of Urology Swedish Medical Center  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine S.","family":"Gaspard","sequence":"additional","affiliation":[{"name":"Dolph Briscoe Jr Library University of Texas Health  San Antonio TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Furkan","family":"Dursun","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Health  San Antonio TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2391-2849","authenticated-orcid":false,"given":"Deepak K.","family":"Pruthi","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Health  San Antonio TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanzhang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Health  San Antonio TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1942-2743","authenticated-orcid":false,"given":"Dharam","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Health  San Antonio TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21708"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2020.03.14"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2019.12.36"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37068-4"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aju.2012.01.001"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2005.07.022"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajur.2020.09.002"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2017.0672"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/2146080"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2020.02.09"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0522"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/1941126X.2018.1444339"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38987.492014.94"},{"key":"e_1_2_10_15_1","volume-title":"Explanation of the 2011 Oxford Centre for Evidence\u2010Based Medicine (OCEBM) Levels of Evidence (Background Document)","author":"Jeremy Howick IC","year":"2011"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61116-8"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-010-0985-4"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200206000-00007"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.08.016"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjebm-2017-110853"},{"key":"e_1_2_10_21_1","volume-title":"The Newcastle\u2010Ottawa Scale (NOS) for Assessing the Quality of Nonrandomized Studies in Meta\u2010Analyses","author":"Wells G","year":"2013"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.03.009"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2011.0214"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-012-1006-y"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7796.120289"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12249"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12804"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.03.031"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.05.017"},{"key":"e_1_2_10_30_1","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.jpurol.2017.01.007","article-title":"Robot\u2010assisted retroperitoneal lymph node dissection (RA\u2010RPLND) in the adolescent population","volume":"13","author":"Glaser AP","year":"2017","journal-title":"J Pediatr Urol"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008938"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2018.01.003"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02900-w"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001301"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-020-01107-1"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2020.06.014"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-89823-y"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-021-01252-1"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-008-0093-7"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-012-0345-4"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2015.56.7.540"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2015.0673"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-016-0622-8"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-016-0631-7"},{"key":"e_1_2_10_45_1","first-page":"153","article-title":"Robot assisted retroperitoneal lymph\u2010node dissection after adjuvant therapy: different indications","volume":"69","author":"Corona Montes VE","year":"2017","journal-title":"Minerva Urol Nefrol"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.4103\/iju.IJU_8_17"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1677-5538.ibju.2015.0436"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2177-y"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-018-0810-9"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2018.99390"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-018-00903-0"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-019-2200-y"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03437-z"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03712-7"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0549"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.05.031"},{"key":"e_1_2_10_57_1","first-page":"64","article-title":"Influence of clinical risk factors on outcomes in men with stage I non\u2010seminomatous germ cell tumor undergoing robot\u2010assisted retroperitoneal lymph node dissection","volume":"1","author":"Jericevic D","year":"2020","journal-title":"Arch Cancer Biol Ther"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-020-01066-7"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euo.2019.01.014"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03403-9"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03832-0"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1002\/bco2.149"},{"key":"e_1_2_10_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64081-5"},{"key":"e_1_2_10_64_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2011.0545"},{"key":"e_1_2_10_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)42997-1"},{"key":"e_1_2_10_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)36046-9"},{"key":"e_1_2_10_67_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/6783147"},{"key":"e_1_2_10_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.09.027"},{"key":"e_1_2_10_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2020.02.035"},{"key":"e_1_2_10_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.03.100"},{"key":"e_1_2_10_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euros.2021.09.005"},{"key":"e_1_2_10_72_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25266"},{"key":"e_1_2_10_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.11.076"},{"key":"e_1_2_10_74_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2012.0054"},{"key":"e_1_2_10_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.07.016"},{"key":"e_1_2_10_76_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19990901)86:5<770::AID-CNCR11>3.0.CO;2-3"},{"key":"e_1_2_10_77_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70372-8"},{"key":"e_1_2_10_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)66976-5"},{"key":"e_1_2_10_79_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313480106700415"},{"key":"e_1_2_10_80_1","doi-asserted-by":"publisher","DOI":"10.5114\/aoms.2014.46222"},{"key":"e_1_2_10_81_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1806395"},{"key":"e_1_2_10_82_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2014.07.054"},{"key":"e_1_2_10_83_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/189823"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.15986","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bju.15986","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.15986","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:27:59Z","timestamp":1761748079000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.15986"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,9]]},"references-count":82,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/bju.15986"],"URL":"https:\/\/doi.org\/10.1111\/bju.15986","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,9]]},"assertion":[{"value":"2023-03-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}