Can Video Endoscopic Inguinal Lymphadenectomy Achieve a Lower Morbidity Than Open Lymph Node Dissection in Penile Cancer Patients?

Tobias-Machado, Marcos; Tavares, Alessandro; Silva, Matheus Neves Ribeiro; Molina, Wilson; Forseto, Pedro H.; Juliano, Roberto Vaz; Wroclawski, Eric Roger

doi:10.1089/end.2007.0386

Cited by 99 publications

(67 citation statements)

References 19 publications

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“…Endoscopic inguinal lymph nodes resection surgery is adopted in the male carcinoma of penis and obtained a better effect (Tobias-Machado et al, 2008;Schwentner et al, 2013;Zhou et al, 2013). Place the laparoscope by piercing through skin below the navel and push it to the inguinal region after it was separating in the fat layer (Tobias-Machado et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…Place the laparoscope by piercing through skin below the navel and push it to the inguinal region after it was separating in the fat layer (Tobias-Machado et al, 2008). Or puncture into the subcutaneous fat along the middle of thigh upward, create small lacuna below the subcutaneous fat of inguinal region using the laparoscope and inject CO 2 to form air space and then cut the adipose and lymphoid tissue like traditional surgery.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Application of Endoscopic Inguinal Lymph Node Resection after Lipolysis and Liposuction for Vulvar Cancer

Zhao²,

Sun³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Aim: To examine lymph nodes obtained after lipolysis and liposuction of subcutaneous fat of the inguinal region of female vulvar cancer patients to explore the feasibility of clinical application. Methods: The field of operation was on the basis of the range of the conventional resection of inguinal lymph nodes. We injected lipolysis liquid fanwise, started liposuction after 15-20 minutes; then the subcutaneous fatty tissue was sucked out clearly by suction tube. We selected the first puncture holes located on 2-3 cm part below anterior superior spine, the others respectively being located 3cm and 6cm below the first for puncturing into the skin, imbedding a trocar to intorduce CO 2 gas and the specular body, and excise the lymph nodes by ultrasonic scalpel. The surgical field chamber was set with negative pressure drainage and was pressured with a soft saline bag after surgery. Results: A lacuna emerged from subcutaneous of the inguinal region after lipolysis and liposuction, with a wide fascia easily exposed at the bottom where lymph nodes could be readily excised. The number of lymph nodes of ten patients excised within the inguinal region on each side was 4-18. The excised average number of lymph nodes was 11 when we had mature technology. Conclusion: Most of adipose tissue was removed after lipolysis and liposuction of subcutaneous tissue of inguinal region, so that the included lymph nodes were exposed and easy to excise by endoscope. This surgery avoided the large incision of regular surgery of inguinal region, the results indicating that this approach is feasible and safe for used as an alternative technology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical Application of Endoscopic Inguinal Lymph Node Resection after Lipolysis and Liposuction for Vulvar Cancer

Zhao²,

Sun³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…16 quienes reportaron una baja tasa de complicaciones. Otros autores posteriormente han reportado igualmente menor morbilidad de la linfadenectomía inguinal videoendoscópica frente al abordaje abierto [17][18][19] . En nuestro caso, la vena safena fue preservada sin presentar ninguna complicación postoperatoria ni a los 3 meses de seguimiento.…”

Section: Discussionunclassified

Técnica quirúrgica de la linfadenectomía inguinal videoendoscópica en el cáncer de vulva

Roda

Llueca

Maazouzi

et al. 2015

Progresos de Obstetricia y Ginecología

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Recibido el 29 de junio de 2015; aceptado el 21 de agosto de 2015 PALABRAS CLAVEEndoscopia; Linfadenectomía inguinal; Linfadenectomía inguinal videoendoscópica; Cáncer de vulva Resumen Introducción: La afectación de los nódulos linfáticos inguinales es un factor pronóstico importante en pacientes con cáncer de vulva. La disección de los nódulos linfáticos inguinales nos permite la estadificación y el tratamiento de la afectación ganglionar inguinal. Por otra parte, causa morbilidad y está asociada a complicaciones como linfocele, dehiscencia de la herida e infección. La linfadenectomía inguinal videoendoscópica parece ser una nueva y atractiva técnica con menor morbilidad que el abordaje abierto. El objetivo de este trabajo es reportar nuestra técnica de linfadenectomía inguinal videoendoscópica para el tratamiento del cáncer de vulva.Métodos: Se evaluó de manera retrospectiva el caso de una paciente de 78 años de edad con cáncer de vulva a la que se realizó una linfadenectomía inguinal videoendoscópica bilateral.Hallazgos: El tiempo operatorio fue de 140 min y no hubo complicaciones. Tras 3 meses de seguimiento no se observaron signos de edema vulvar, linfedema o linfocele.Conclusiones: La linfadenectomía inguinal videoendoscópica en pacientes con cáncer de vulva es factible en la práctica clínica. Estudios adicionales con un mayor número de pacientes y a más largo plazo de seguimiento son necesarios para confirmar la eficacia oncológica y la posible menor morbilidad de este nuevo enfoque. ß 2015 SEGO. Publicado por Elsevier España, S.L.U. Todos los derechos reservados. KEYWORDS Endoscopy; Inguinal lymphadenectomy; Video EndoscopicSurgical technique for video endoscopic inguinal lymphadenectomy in vulvar cancer Abstract Introduction: Inguinal lymph node involvement is an important prognostic factor in patients with vulvar cancer. Inguinal lymph node dissection allows for staging and treatment of inguinal node disease but causes morbidity and is associated with complications such as lymphocele Prog Obstet Ginecol. 2015;xx(xx)

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“…Nodal counts were similar, with 20% of complications on the endoscopic side, compared with 70% with open surgery, p 0.011. Skin-related complications were reduced from 50% to 5% with the endoscopic approach 5% [8]. Sotelo et al [9] reported the outcomes after 14 inguinal endoscopic lymphadenectomies in eight patients with clinical Stage T2 squamous cell carcinoma of the penis, with a median operative time of 91 min and an average node yield of nine.…”

Section: Discussionmentioning

confidence: 99%

“…In summary, the evidence from small series [6][7][8][9][10], comprising a total of 41 endoscopic groin dissections, [11] suggests that the morbidity of an endoscopic dissection is lower than open contemporary series [3]. A similar number of nodes can be retrieved [7], and more importantly, when an independent surgeon 'audited' the dissection, the field was adequately dissected in 94.7% [18].…”

Section: Discussionmentioning

confidence: 99%

Robotic Bilateral Inguinal Lymphadenectomy in Penile Cancer, Development of a Technique Without Robot Repositioning: A Case Report

et al. 2014

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Can Video Endoscopic Inguinal Lymphadenectomy Achieve a Lower Morbidity Than Open Lymph Node Dissection in Penile Cancer Patients?

Cited by 99 publications

References 19 publications

Clinical Application of Endoscopic Inguinal Lymph Node Resection after Lipolysis and Liposuction for Vulvar Cancer

Clinical Application of Endoscopic Inguinal Lymph Node Resection after Lipolysis and Liposuction for Vulvar Cancer

Técnica quirúrgica de la linfadenectomía inguinal videoendoscópica en el cáncer de vulva

Robotic Bilateral Inguinal Lymphadenectomy in Penile Cancer, Development of a Technique Without Robot Repositioning: A Case Report

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