The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic retroperitoneal lymph node dissection for testicular cancer in March 2006. In accordance with the Interventional Procedures Programme Process Guide, guidance on procedures with special arrangements are reviewed 3 years after publication and the procedure is reassessed if important new evidence is available.

The guidance was considered for reassessment in March 2009 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.


The procedure uses keyhole surgery to remove the lymph nodes, with the aim of causing fewer problems and allowing the man to recover from the surgery more quickly.

Coding recommendations


SNOMED CT preferred term (concept ID)

Laparoscopic retroperitoneal lymph node dissection (445917006)


T85.8 Other specified block dissection of lymph nodes

Y75.2 Laparoscopic approach to abdominal cavity NEC

 In addition an ICD-10 code from category C62.- Malignant neoplasm of testis is assigned.

Diagnosis or health condition

SNOMED CT preferred term (concept ID)