Hand-Assisted Laparoscopic Retroperitoneal Lymph Node Dissection for Nonseminomatous Testicular Cancer

Abstract

Hand assistance makes the laparoscopic operation simpler, faster, and safer. A 6-7 cm muscle-splitting incision should be advantageous for patients compared to the xyphopubic laparotomy of the open procedure. To our knowledge this is the first report on hand-assisted laparoscopic retroperitoneal lymph node dissection.