Abstract
Retroperitoneal lymph node dissection is a therapeutic method for extraction of lymph nodes as a first localization of distant metastasis of most non-seminomatous testicular tumors. Before routine introduction fo chemotherapy, retroperitoneal lymphadectomy was only therapy after radical orchiectomy in patiens with positive retroperitoneal lymph nodes.
Adjuvant chemotherapy is first choice therapy in non-seminomatous testicular tumors at present, mostly for náročnost a frequent complications of open retroperitoneal lymphadenectomy. Introduction of modificated and nerve-sparing lymphadenectomy reduced late complications rate but peroperative morbidity remains.
Laparoscopic technique of lymphadenectomy affords advantages in postoperative course and reduces morbidity.