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Robotic-Assisted Retroperitoneal Lymph Node Dissection (RPLND)
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Robotic-Assisted Retroperitoneal Lymph Node Dissection (RPLND) is a minimally invasive surgical procedure used to remove lymph nodes from the retroperitoneal space (area behind the abdominal organs) in patients with testicular cancer, especially non-seminomatous germ cell tumors (NSGCTs).
Performed using the da Vinci robotic system, this approach allows the surgeon to access deep abdominal lymph nodes with high precision, minimal trauma, and faster recovery, making it a preferred option over open surgery in selected patients.
Who Needs Robotic-Assisted RPLND?
RPLND is recommended for:
Residual lymph nodes after chemotherapy for testicular cancer
High-risk non-seminomatous testicular cancer with retroperitoneal involvement
Patients needing staging or therapeutic dissection
Recurrent testicular cancer
A comprehensive assessment by Dr. Sachin Arakere Nataraj, a robotic urologist and uro-oncologist, helps determine the suitability of this advanced technique.
Benefits of Robotic-Assisted RPLND (Pros)
✅ Minimally Invasive: Small incisions, less pain, and reduced blood loss
✅ High Precision: Enhanced visualization for meticulous dissection around vital structures
✅ Faster Recovery: Shorter hospital stay and quicker return to daily activities
✅ Lower Risk of Complications: Reduced bowel injury and postoperative issues compared to open surgery
✅ Cosmetically Superior: Tiny incisions leave minimal scarring
Potential Risks & Considerations (Cons)
❌ Requires Expertise: Needs a highly skilled robotic surgeon like Dr. Sachin for optimal outcomes
❌ Limited Availability: Only available at centers with advanced robotic surgical infrastructure
❌ May Not Suit All Cases: Very bulky or advanced disease may still require open RPLND
❌ Cost: May be higher than traditional approaches
Why Choose Dr. Sachin Arakere Nataraj?
Dr. Sachin Arakere Nataraj is a leading robotic uro-oncologist with vast experience in complex robotic surgeries like RPLND. His international training, precision, and patient-centric approach ensure that patients receive the most advanced cancer care with better outcomes and faster recovery.
If you or a loved one has testicular cancer requiring lymph node dissection, book a consultation with Dr. Sachin for expert evaluation and personalized robotic treatment options.
