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Original Research

Case-Based Clinical Reasoning And Decision Making Model


1 University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey 
2 Marmara University, Faculty of Medicine, Basic Medical Sciences, Istanbul, Turkey


DOI : 10.33719/yud.775220
New J Urol. 2021; 16-(1): 53-59

Abstract

In recently many laparoscopic surgical procedures in urology have been performed successfully with the help of technological advances. It is an invasive procedure that is retroperitoneal lymph node dissection (RPLND) laparoscopic retroperitoneal ap-proach can be applied. Twenty-four year-old male patient, 7 years ago has been performed radical orchiectomy at epicentral clinic. The pathology of testicular mass was embryonal carcinoma. Two cycles of BEP (bleomycin, etoposide and cisplatin) chemotherapy pro-cedure has been treated. Mass was found in the retroperitoneum  5 years later. Open transperitoneal retroperitoneal lymph node dissection surgery was performed at epicen-tral clinic. AFP has come to normal values after the operation. AFP was  detected 50 IU/mL 2 years later. Patients with recurrent ret-roperitoneal mass was referred to our clinic. In our clinic  the patient was  underwent laparoscopic retroperitoneal excision for the recurrent mass. Operation time were 90 minutes. Mass was localizated  psoas muscle infero-lateral and sized 24 mm. Patient  was hospitalized for 2 days. The drainage cath-eter was taken out postoperative second day. There was no complication.

Keywords: Laparoscopy, retroperition, mass, recurrence


Abstract

In recently many laparoscopic surgical procedures in urology have been performed successfully with the help of technological advances. It is an invasive procedure that is retroperitoneal lymph node dissection (RPLND) laparoscopic retroperitoneal ap-proach can be applied. Twenty-four year-old male patient, 7 years ago has been performed radical orchiectomy at epicentral clinic. The pathology of testicular mass was embryonal carcinoma. Two cycles of BEP (bleomycin, etoposide and cisplatin) chemotherapy pro-cedure has been treated. Mass was found in the retroperitoneum  5 years later. Open transperitoneal retroperitoneal lymph node dissection surgery was performed at epicen-tral clinic. AFP has come to normal values after the operation. AFP was  detected 50 IU/mL 2 years later. Patients with recurrent ret-roperitoneal mass was referred to our clinic. In our clinic  the patient was  underwent laparoscopic retroperitoneal excision for the recurrent mass. Operation time were 90 minutes. Mass was localizated  psoas muscle infero-lateral and sized 24 mm. Patient  was hospitalized for 2 days. The drainage cath-eter was taken out postoperative second day. There was no complication.

Keywords: Laparoscopy, retroperition, mass, recurrence