Ep. 201 Expert Approaches to Complex PC RPLND Cases with Dr. Timothy Masterson and Dr. Rob Hamilton, Part One

Retroperitoneal lymph node dissection (RPLND) for testicular cancer can be a challenging surgery, even for the most experienced urologic oncologists. In part one of this special two-part series, host Dr. Aditya Bagrodia invites Society of Urologic Oncologists (SUO) members Dr. Timothy Masterson (Indiana University) and Dr. Robert Hamilton (Princess Margaret Hospital/University of Toronto) to cover current approaches to post-chemotherapy RPLND. --- SYNPOSIS First, the urologists delve into the technical considerations and perioperative planning for post-chemotherapy retroperitoneal lymph node dissections (RPLND) in patients with germ cell tumors. They discuss the importance of patient preparation, imaging assessments, and surgical approaches. Additionally, they explain their own surgical techniques as well as tips for dealing with operative complications. To end, their discussion addresses the importance of a multidisciplinary team and practical tips for ensuring successful surgical outcomes. --- TIMESTAMPS 00:00 - Introduction 01:37 - Preparing for Post-Chemotherapy RPLND 08:10 - Intraoperative Considerations 11:02 - Handling Complications 20:11 - Vascular Anatomy and Preoperative Planning 27:13 - Anesthesia Considerations and Pain Management 29:22 - Essential Tools and Techniques for Surgery 38:24 - Incision Strategies and Post-Chemotherapy Considerations 46:32 - Extraperitoneal Approach and Future Research --- RESOURCES Society of Urologic Oncologists https://suonet.org/home.aspx