Most Read Articles
05 Feb 2021

Primary immunodeficiency disease (PIDD) and allergies are two groups of conditions related to the immune system. However, they are uniquely different in terms of symptoms and treatment.

Roshini Claire Anthony, 5 days ago

Switching from tenofovir disoproxil fumarate (TDF) to tenofovir alafenamide (TAF) did not result in worsening renal function or bone mineral density (BMD) in Asian patients with chronic hepatitis B virus (HBV) infection, according to a small real-world prospective study.

23 Feb 2021
Patients with multiple endocrine neoplasia type 1 (MEN1) are at greater risk of experiencing venous thromboembolism (VTE), suggests a recent study.
Roshini Claire Anthony, 3 days ago

Critical or severe COVID-19 disease could raise the risk of negative perinatal outcomes in pregnant women, according to an observational study from the US.

Robot-assisted retroperitoneal lymph node dissection feasible for metastatic testicular cancer

11 Dec 2020

A robotic-assisted retroperitoneal lymph node dissection (RARLND) is technically feasible and recommended in highly selected patients with low volume metastatic testicular cancer, suggests a study. In addition, RARLND has comparable complications and early oncologic safety to open surgery.

“RARLND in patients with testicular cancer is controversial. Lately, unusual recurrence patterns with adverse outcomes after RARLND have been published,” the investigators said.

Twenty-seven consecutive patients with small volume metastatic testicular cancer (October 2010 to November 2019) who underwent RARLND (unilateral modified template) were retrospectively evaluated in this study. Intra- and postoperative complications and early oncologic outcomes were reported.

The investigators performed surgery in the primary metastatic setting in 22 patients (81 percent), postchemotherapy in four (15 percent), and for late relapse in one (4 percent). Initial clinical stage was IIA for 14 patients (52 percent), IIB for 12 (43 percent), and III for one (4 percent).

Median operative time was 175 minutes, blood loss 50 ml, and length of hospital stay 4 days. Of the 27 patients, 21 (78 percent) had a viable tumour and six (22 percent) showed fibrosis, necrosis, or no tumour. Three patients (11 percent) had intraoperative (Satava II) and one (4 percent) had postoperative (Clavien-Dindo IIb) complications.

Over a median follow-up of 16.5 months, three patients (11 percent) had relapse outside of the surgical field after 12, 22, and 36 months.

“Prospective data collection in larger series is necessary to clarify the role and specific indications of this approach,” the investigators said.

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Most Read Articles
05 Feb 2021

Primary immunodeficiency disease (PIDD) and allergies are two groups of conditions related to the immune system. However, they are uniquely different in terms of symptoms and treatment.

Roshini Claire Anthony, 5 days ago

Switching from tenofovir disoproxil fumarate (TDF) to tenofovir alafenamide (TAF) did not result in worsening renal function or bone mineral density (BMD) in Asian patients with chronic hepatitis B virus (HBV) infection, according to a small real-world prospective study.

23 Feb 2021
Patients with multiple endocrine neoplasia type 1 (MEN1) are at greater risk of experiencing venous thromboembolism (VTE), suggests a recent study.
Roshini Claire Anthony, 3 days ago

Critical or severe COVID-19 disease could raise the risk of negative perinatal outcomes in pregnant women, according to an observational study from the US.