{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T16:35:45Z","timestamp":1781714145303,"version":"3.54.5"},"reference-count":0,"publisher":"Canadian Urological Association Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CUAJ"],"abstract":"<jats:p>Introduction: Retroperitoneal lymph node dissection (RPLND) is a procedure of significant therapeutic and diagnostic value in the management of testicular cancer. This study aimed to conduct a contemporary review of surgical outcomes following RPLND procedures performed in North America over the last decade.\nMethods: We queried the National Surgical Quality Improvement Program (NSQIP) database from 2012\uf02d2022 (n=9 857 040) to identify patients who underwent RPLND and were diagnosed with testicular cancer. The primary outcome was 30-day morbidity. Secondary outcomes included time-to-complication analysis, rate of additional organ resection, hospital length of stay (LOS), and readmission rates. Binomial logistic regression and a generalized linear model were used to identify risk factors associated with 30-day morbidity and LOS.\nResults: A total of 513 RPLND procedures met the inclusion criteria. The median age was 30 years (interquartile range [IQR] 24\uf02d36.50) with a body mass index of 27.9 kg\/m2 (IQR 24.5\u2013 32.0). There were no deaths within 30 days. The overall 30-day morbidity rate was 17% (n=86). Bleeding\/transfusion postoperatively (12%), return to the operating room (3%), and superficial surgical site infection (2%) were the three most common complications. Factors associated with increased 30-day morbidity included: history of smoking (odds ratio [OR] 2.5, 95% confidence interval [CI] 1.35\u20134.68) and concurrent vascular repair\/reconstruction (OR 4.1, 95% CI 1.12\u201315.46). The median LOS was four days (IQR 3\u20136) and the 30-day readmission rate was 7.0%.\nConclusions: This study underscores that approximately one in six patients experience complications following RPLND in North America. Identifying the timing of and risk factors for these complications can improve physician-patient communication and overall care.<\/jats:p>","DOI":"10.5489\/cuaj.9042","type":"journal-article","created":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T11:11:47Z","timestamp":1740481907000},"source":"Crossref","is-referenced-by-count":2,"title":["Assessing complications from retroperitoneal lymph node dissection for testicular cancer in North America"],"prefix":"10.5489","volume":"19","author":[{"given":"Mithun","family":"Kailavasan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesus","family":"Cendejas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa J.","family":"Huynh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brant A.","family":"Inman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Power","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3456","published-online":{"date-parts":[[2025,2,24]]},"container-title":["Canadian Urological Association Journal"],"original-title":[],"link":[{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/9042\/6341","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/9042\/6341","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T11:12:22Z","timestamp":1740654742000},"score":1,"resource":{"primary":{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/view\/9042"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,24]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,2,24]]}},"URL":"https:\/\/doi.org\/10.5489\/cuaj.9042","relation":{},"ISSN":["1920-1214","1911-6470"],"issn-type":[{"value":"1920-1214","type":"electronic"},{"value":"1911-6470","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,24]]}}}