Alternative approaches to retroperitoneal lymph node dissection for paratesticular rhabdomyosarcoma

Retrospective study of 20 paratesticular rhabdomyosarcoma patients demonstrates retroperitoneoscopic RPLND achieves shorter hospital stays, reduced opioid use, and faster chemotherapy initiation compared to open and laparoscopic approaches, with equivalent lymph node yields. ICG lymphatic mapping successfully identified iliac node drainage patterns.