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Aktuelle Urol 2003; 34(4): 214-222
DOI: 10.1055/s-2003-41600
Original Article
© Georg Thieme Verlag Stuttgart · New York

Extensive Surgery in Metastatic Testicular Cancer

Operative Strategie bei metastasierendem HodenkrebsD.  Melchior1 , S.  C.  Müller1 , P.  Albers1
  • 1Department of Urology, Bonn University, Germany
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Publication History

Publication Date:
25 August 2003 (online)

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Abstract

Surgery remains an important component in the multimodal treatment of patients with advanced testicular cancer. Recently, however, the indications for post-chemotherapy residual tumor resection have changed. Patients with advanced seminoma very rarely need surgical resection of the residual disease after standard chemotherapy. In contrast, patients with high stage non-seminomatous testis cancer must undergo post-chemotherapy surgery in most cases. Surgical resection in metastatic disease may also be necessary in patients with recurrent tumors, patients with persisting marker elevation during chemotherapy and patients with late relapses. Post-chemotherapy residual tumor resections, “redo”-retroperitoneal tumor operations and other salvage resections are often technically demanding procedures with unusual surgical approaches that require individualized perioperative planning in order to reduce morbidity. This paper summarizes the current indications for post-chemotherapy surgery and discusses various surgical approaches and techniques, perioperative management recommendations, as well as complications of these extensive resection procedures.

Key words

Testis cancer - germ cell tumor - resection - lymph node excision - complications

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Prof. Dr. Peter Albers

Department of Urology · Klinikum Kassel

Mönchebergstr. 41 - 43

35125 Kassel

Phone: +49-561-980-4030

Fax: +49-561-980-6981

Email: albers@klinikum-kassel.de

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