Testicular cancer often spreads in predictable patterns — usually to nearby lymph nodes tucked behind major abdominal organs. When testicular cancer metastasizes, surgeons perform laparoscopic retroperitoneal lymph node dissection (RPLND) to clear what’s left after a testicle has been removed.
RPLND involves just three to four small incisions across the abdomen. Depending on how far the cancer has spread, your surgeon may remove anywhere from fewer than 10 to more than 50 lymph nodes. Surgeons are careful to not remove more than they have to. The number of lymph nodes taken out is not enough to affect the body’s infection fighting ability.
This minimally invasive approach provides patients with less downtime than traditional open surgery.