Examinando por Autor "Rioja Z., Jorge"
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Ítem Morbilidad de la linfadenectomía lumboaórtica laparoscópica en pacientes con tumor testicular no seminomatoso en estadío clínico A(Sociedad de Cirujanos de Chile, 2009) Castillo C., Octavio A.; Feria F., Miguel; Vidal M., Ivar; Rioja Z., Jorge; Sánchez S., RafaelRetroperitoneal Lymph node dissection is part of the treatment of patients with nonseminomatous germ cell tumors stage I (NSGCT). Aim: To report the immediate surgical outcomes of patients subjected to laparoscopic retroperitoneal lymph node dissection. Material and Methods: Prospective analysis of the surgical outcomes of 118 patients aged 15 to 44 years, who underwent Laparoscopic Retroperitoneal Lymph Node Dissection (L-RPLND) for NSGCT stage I. Results: Median blood loss was 50 cc (range 10-1.000 cc), median operative time was 120 min. (range 60-300 min). Mean hospital stay was 41.4 hours. Twelve patients (10.2%) had operative complications. Ten had vascular injuries (8.5%), one had a duodenal injury (0.85%) and one had an acute pulmonary edema (0.85%). Eight lesions were repaired laparoscopically and three required conversion to open surgery. There was no mortality in this series. Conclusions: L-RPLND had an acceptable complication rate in this series of patients. Most of the complications could be resolved laparoscopically