Saphenous-sparing Ascending Video Endoscopic Inguinal Lymph Node Dissection Using a Leg Approach: Surgical Technique and Perioperative and Pathological Outcomes

Fankhauser, Christian Daniel; Lee, Esther W. C.; Issa, Allaudin; Oliveira, Pedro; Lau, Maurice; Sangar, Vijay; Parnham, Arie

doi:10.1016/j.euros.2021.10.004

Cited by 9 publications

(2 citation statements)

References 25 publications

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“…Previous reports from high-volume penile cancer centres [3,11] describe complications in ~60% of patients following open ILN dissection. The majority being wound infection, seroma formation, and skin-flap problems, which is in keeping with our experience [12]. This is in contrast to the low risk of complications after DSNB at only ~5% [13].…”

Section: Discussionsupporting

confidence: 88%

High diagnostic accuracy of inguinal ultrasonography and fine‐needle aspiration followed by dynamic sentinel lymph node biopsy in men with impalpable and palpable inguinal lymph nodes

et al. 2022

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To assess the accuracy of dynamic sentinel lymph node biopsy (DSNB) after negative ultrasonography (US) guided fineneedle aspiration (FNA) for inguinal lymph node (ILN) staging. Patients and MethodsWe performed a retrospective analysis of men with ≥T1G2 penile cancer and negative inguinal US-guided FNA undergoing DSNB. Men with suspicious US but negative FNA underwent US-guided ILN excision. Men with ≥T1G2 local recurrence during follow-up and non-squamous cell histologies were excluded. Descriptive analysis was performed, and sensitivity and negative predictive values (NPVs) were calculated. ResultsWe included 403 men with 728 groins with negative FNA undergoing DSNB AE US-guided LN excision. At least one sentinel LN (SN) was visualised in 93% during the first and in 7% during the second lymphoscintigraphy. The median SNs visualised preoperatively was 1 SN and a median of 2 LNs were resected. ILN metastases were detected in 9% groins in men with impalpable and in 17% men with palpable LNs. Stratified by impalpable and palpable ILN, non-local recurrence despite pathologically negative DSNBs was seen in 0.5% and 0%, respectively. Limited to men with ≥24 months follow-up, non-local recurrence after negative DSNBs was seen in 0.4% and 0%, respectively. The sensitivity of DSNB was 96% and the NPV was 100%. The main limitation of this analysis is its retrospective nature with inherit biases. ConclusionsInguinal US and FNA followed by DSNB can accurately stage men with both impalpable and palpable ILN, which provides logistical and surgical advantages.

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Section: Discussionsupporting

confidence: 88%

High diagnostic accuracy of inguinal ultrasonography and fine‐needle aspiration followed by dynamic sentinel lymph node biopsy in men with impalpable and palpable inguinal lymph nodes

et al. 2022

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“…122,123 Minimally invasive ILND procedures also demonstrated a higher likelihood of sparing the saphenous vein compared to open ILND. 124 Very initial series have documented feasibility of inguinal lymph node dissection with SP platform for penile cancer. 125 Advantages of SP platform such as minimization of instrument clashing and workspace maximization certainly make this system perfectly fit for a narrow operating space such as the femoral triangle.…”

Section: Robot-assisted Inguinal Lymph Node Dissection For Penile Cancermentioning

confidence: 99%

Robot-assisted Surgery in the Field of Urology: The Most Pioneering Approaches 2015–2023

Franco,

Ditonno,

Manfredi

et al. 2023

RRU

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Robot-assisted surgery has emerged as a transformative technology, revolutionizing surgical approaches and techniques that decades ago could barely be imagined. The field of urology has taken charge in pioneering a new era of minimally invasive surgery with the ascent of robotic systems which offer enhanced visualization, precision, dexterity, and enabling surgeons to perform intricate maneuvers with improved accuracy. This has led to improved surgical outcomes, including reduced blood loss, lower complication rates, and faster patient recovery. The aim of our review is to present an evidence-based critical analysis on the most pioneering robotic urologic approaches described over the last eight years (2015)(2016)(2017)(2018)(2019)(2020)(2021)(2022)(2023).

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Comparing the safety and effectiveness of minimally invasive surgery and open inguinal lymph node dissection in penile cancer: A systematic review and meta-analysis

Ge,

Zheng,

et al. 2024

European Journal of Surgical Oncology

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Saphenous-sparing Ascending Video Endoscopic Inguinal Lymph Node Dissection Using a Leg Approach: Surgical Technique and Perioperative and Pathological Outcomes

Cited by 9 publications

References 25 publications

High diagnostic accuracy of inguinal ultrasonography and fine‐needle aspiration followed by dynamic sentinel lymph node biopsy in men with impalpable and palpable inguinal lymph nodes

High diagnostic accuracy of inguinal ultrasonography and fine‐needle aspiration followed by dynamic sentinel lymph node biopsy in men with impalpable and palpable inguinal lymph nodes

Robot-assisted Surgery in the Field of Urology: The Most Pioneering Approaches 2015–2023

Comparing the safety and effectiveness of minimally invasive surgery and open inguinal lymph node dissection in penile cancer: A systematic review and meta-analysis

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