The future of inguinal Lymphadenecotmy in penile cancer: laparoscopic or robotic?

Favorito, Luciano A.

doi:10.1590/s1677-5538.ibju.2019.02.01

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…Penile cancer is a rare condition, and surgical excision of the penile mass with inguinal LN dissection forms the mainstay of its treatment. [ 62 ] Open inguinal LN dissection is associated with morbidity rates of around 50% including lymphedema, lymphocele (21%), wound infection (26%) and flap necrosis (41%). [ 62 ] Video endoscopic inguinal lymphadenectomy (VEIL) using the traditional laparoscopic instruments, first described in 2003, has been reported to reduce the surgical morbidity without compromising the oncologic outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…[ 62 ] Open inguinal LN dissection is associated with morbidity rates of around 50% including lymphedema, lymphocele (21%), wound infection (26%) and flap necrosis (41%). [ 62 ] Video endoscopic inguinal lymphadenectomy (VEIL) using the traditional laparoscopic instruments, first described in 2003, has been reported to reduce the surgical morbidity without compromising the oncologic outcomes. [ 63 ] However, the procedure is complex and ergonomically taxing.…”

Section: Resultsmentioning

confidence: 99%

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Role of laparoscopy in the era of robotic surgery in urology in developing countries

et al. 2021

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Role of laparoscopy in the era of robotic surgery in urology in developing countries

et al. 2021

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“…However, this approach is currently carried out in a small number of cases, and still needs more clinical cases to verify and optimize the operation process. It is believed that with the popularity of robots, The operation is more re ned and standardized [13]. Laparoscopic minimally invasive inguinal lymph node dissection will have more accurate tumor control effect and fewer complications, thus further improving the survival time and quality of life of Penile cancer patients.…”

Section: Discussionmentioning

confidence: 99%

Improvement of laparoscopic inguinal lymph node dissection for Penile cancer

ban,

xu,

liang

et al. 2023

Preprint

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The prognosis of Penile cancer patients is closely related to the metastasis of inguinal lymph nodes. Timely inguinal lymph node dissection is an important part of the treatment of Penile cancer. The tumor control effect of laparoscopic inguinal lymph node dissection is similar to that of open surgery, but the complications are significantly reduced; And there are different methods in terms of surgical approach, dissection approach and Great saphenous vein preservation. We adopt the transabdominal subcutaneous anterograde approach and improve the laparoscopic inguinal lymph node dissection. This article introduces the procedures and technical improvement points of the improved laparoscopic inguinal lymph node dissection through the subcutaneous approach.

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“…Extended Inguinal lymphadenectomy (open, laparoscopic or robotic) is the most useful and commonly performed surgery for staging and to cure inguinal metastasis in penile cancer cases. Although it is a widespread technique, post operatory complications often occur (6-8).…”

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confidence: 99%

Editorial Comment: External validation of nomogram to predict inguinal lymph node metastasis in patients with penile cancer and clinically negative lymph nodes

Favorito

2019

Int. braz j urol.

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In this interesting paper Dr. Maciel and collegues from Sao Paulo -Brazil conduct an external validation of a previously developed nomogram (1) to predict inguinal lymph node (ILN) metastases in penile cancer in patients with clinically negative lymph nodes. The authors analyzed 65 men with penile cancer who underwent inguinal lymph node dissection. Of 65 men, only 24 (36.9%) presented with positive LNs. The authors concluded that the present nomogram applied in Brazilian population had low accuracy and low precision for correctly identifying patients with penile cancer who have positive ILN.Penile cancer is a rare neoplasia with low incidence in developed countries. In Brazil the incidence rate of penile cancer is 2.9 -6.8/100,000 inhabitants, resulting in this country having one of the world's highest incidence rates for this neoplasia (2-4). The most common sites of penile cancer metastasis are the superficial and deeper nodes of the inguinal and iliac region. The occurrence and extent of inguinal lymphatic metastasis are the most important prognostic factors in patients with penile cancer and usually imply worse oncologic prognosis (5). Extended Inguinal lymphadenectomy (open, laparoscopic or robotic) is the most useful and commonly performed surgery for staging and to cure inguinal metastasis in penile cancer cases. Although it is a widespread technique, post operatory complications often occur (6-8).This paper is very important, but in the future, papers with prospective studies and with a more significant sample will be necessary to confirm the application of this nomogram to predict inguinal lymphatic metastasis in patients with penile cancer.

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The future of inguinal Lymphadenecotmy in penile cancer: laparoscopic or robotic?

Cited by 3 publications

References 7 publications

Role of laparoscopy in the era of robotic surgery in urology in developing countries

Role of laparoscopy in the era of robotic surgery in urology in developing countries

Improvement of laparoscopic inguinal lymph node dissection for Penile cancer

Editorial Comment: External validation of nomogram to predict inguinal lymph node metastasis in patients with penile cancer and clinically negative lymph nodes

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