V7-03: Robotic Post-Chemotherapy Retroperitoneal Lymphnode Dissection with Associated Duplicated Inferior Vena Cava

Video

Introductions and Objectives
Robotic Retroperitoneal Lymphnode Dissection (RPLND) is an emerging option for those undergoing both primary and post-chemotherapy treatment. While open RPLND has previously been the standard of care, however, as surgeons have become more accomplished utilizing robotic assistance so to has this procedure evolved. The post-chemotherapy patient usually presents a specific challenge due to the dense fibrosis associate with this. In this video we present particularly unique case in a patient with duplicated inferior vena cava. Our objective is to demonstrate an interesting and safe means of RPLND utilizing robotic assistance.

Methods
A robotic approach was utilized to perform a bilateral template dissection of the retroperitoneum sparing the right sympathetic chain and superior hypogastric plexus.

Results
Further studies are needed to validate the oncologic efficacy of the approach against the standard open approach.

Conclusions
Robotic RPLND in the post-chemotherapy is a safe and feasible alternative to open RPLND with reduced morbidity.

Funding: None