Abstract
Retroperitoneal lymphnode dissection after chemotherapy is a definite strategy for treating progressive testicular cancer. To access the surgical approach to the retrocrual space, we performed a dissection. The left diaphragm crus was adjacent to the left adrenal glad, the right one to the inferior vena cava. The ventral site of the aortic hiatus was not fully visible because of superior mesenteric and celiac arteries and surrounding connective tissue. Left side approach is the only route to retrocrual space, when the routine procedure for the approach to retroperitoneal space is used. To resect a metastatic mass in retrocrual space completely, other approaches, such as the thoracic approach, procedures for total gastrectomy, are necessary.
