Lymph Node Retrieval Rates in Melanoma: A Quality Assessment Parameter

Berger-Richardson, David; Cordeiro, Erin; Ernjakovic, M; Easson, Alexandra

doi:10.3747/co.24.3593

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2020

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“…The median number of lymph nodes obtained in both the LIIL and the OIL was higher than the 90th percentile of results from reference centers in the treatment of melanoma [ 13 ]. This quality assessment of lymphadenectomies was suggested by Spillane et al [ 14 ], in the absence of an established lymph node cut-off number that should contain a lymphadenectomy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopically Assisted Ilio-Inguinal Lymph Node Dissection Versus Inguinal Lymph Node Dissection in Melanoma

et al. 2020

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Aim: Morbidity of open inguinal lymphadenectomy (OIL) is high. We use laparoscopy for pelvic time, preservation of the greater saphenous vein and transverse inguinal incisions (Laparoscopically assisted ilio-inguinal lymphadenectomy, LIIL) to improve postoperative outcomes. Patients & methods: Retrospective comparison of 14 patients who underwent LIIL and seven patients who underwent OIL. Results: Fourteen LIIL compared with seven OIL showed a statistically significant reduction in morbidity (15.3 vs 75%) and hospital stay (7 vs 15.7 days). Pelvic lymph node involvement (27%) was not detected preoperatively. With a mean follow-up of 36.2 (range: 3–137) months, local recurrence rate was 58.3% in LIIL and 40% in OIL. Overall survival was significantly higher in OIL than in LIIL. Conclusion: Compared with OIL, LIIL reduced postoperative complications and hospital stay.

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Section: Discussionmentioning

confidence: 99%