Changes in the Lymphatic Dynamics After Retroperitoneal Lymph Node Dissection

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Abstract
Lymphatic dynamics in the retroperitoneal space are altered after retroperitoneal lymph node dissection in testicular tumor patients. Obstruction with or without visible collaterals is seen frequently. Lymphaticovenous communications and lymphocysts are common findings. The immediate sequelae are of minor importance, although the mass effect of lymphocysts may be serious. The collateral pathways and lymphaticovenous anastomoses may result in the appearance of metastases in unusual sites.

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