Robotic retroperitoneal lymph node dissection for paratesticular rhabdomyosarcoma in adolescents: a case series

We present an analysis of RA-RPLND for boys with paratesticular RMS. We queried our ins titution’s prospectively collected database of pediatric robotic cases for patients undergoing RA-RPLND post-radical orchiectomy for paratesticular mass, confirmed by pathology as RMS. Demographic, surgical, follow-up, and oncological outcomes were evaluated between 2017 and 2023. Five patients un derwent RA-RPLND for paratesticular RMS. The median age was 16.1 years (15–17), with median OR time of 456 min (357–508). No conversions to open occurred. Inpatient median total opioid use was 1.8 (0.4–2.7) morphine equivalent/kg. The median lymph node yield was 27 (8–44) and post-op lengt h of stay was 3 days (2–5). The median time to initiating adjuvant chemotherapy was 10.5 days (7–13). One patient had complications: pneumothorax attributed to central line placement and chyle leak that resolved in 1 week with dietary restriction. Our series demonstrates the feasibility, safe ty, and efficacy of the RA approach for RPLND in pediatric patients with paratesticular RMS. This is the most extensive case series currently in the literature and the only one exclusively done for paratesticular RMS.
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research