Initial experience of video endoscopic inguinal Lymphadenectomy in a center located at northeast brazilian region

Abstract

Introduction: Video endoscopic inguinal lymphadenectomy – VEIL – has emerged as an alternative to reduce post-surgical complications (PSC) in patients with penile cancer submitted to inguinal lymphadenectomy (IL). In some series, these PSC are observed in more than 50% of patients. The objectives of the present study are to describe the initial experience of VEIL in a Hospital in Teresina, PI, Brazil, and to analyze PSC incidence. Material and Methods: Retrospective descriptive study of patients submitted to VEIL from March 2014 to November 2015. Data were collected regarding surgical time, bleeding, complications, lymph node number, conversion, global complications, drainage time, cellulitis, lymphocele, cutaneous necrosis, miocutaneous necrosis and hospitalization time. Results: 20 lower limbs of 11 patients were operated. Mean age was 51.4 (24-72) years. Mean surgical time was 85 (60-120) minutes. No patient showed intrasurgical complications, bleeding > 50 mL or conversion. Three surgeries evolved with lower limb edema, 2 with lymphoceles and one patient had cutaneous necrosis and another bulging of surgical wound. Mean time of hospitalization was 4 (2-11) days. A mean of 5.8 (1-12) lymph nodes were dissected in each surgery. Conclusion: VEIL is a safe and easy technique with lower incidence of PSC that can be reproduced in small centers.

Long-term oncological and surgical outcomes after Video Endoscopic Inguinal Lymphadenectomy (VEIL) in patients with penile cancer

“…After that, several other series and three systematic reviews with pure laparoscopic or robotic techniques have reported further evidence supporting the findings from that landmark comparative study (18)(19)(20)(21)(22)(23)(24).…”

Minimal invasive approaches in lymph node management of carcinoma of penis: A review

“…Meneses et al . [ 30 ] followed up 11 patients for a mean period of 28 months and 2 patients had recurrence. Carlos et al .…”

Living in a rural area as a risk factor for worst outcomes in penile cancer

“…There are multiple interventions to try to fulfill this objective, such as topic chemotherapy with imiquimod and 5-fluorouracil, laser with carbon dioxide or neodymium: yttrium-aluminum-garnet (Nd: YAG), glans resurfacing excision with circumcision laser, glansectomy with reconstruction, radiotherapy, partial amputation with reconstruction, radical penectomy with perineal urethrostomy, neoadjuvant or adjuvant therapy with surgery, among other interventions (14,15). Also, there are different interventions for managing the inguinal region with the potential to limit morbidities, such as the dynamic sentinel node excision and the video endoscopic inguinal lym-ph node dissection (VEIL) (16,17). T1 low-grade patients could be treated with a conservative approach; otherwise, higher T or high-grade stages will require more extensive procedures (1, 2, 18).…”