Videoscopic ilioinguinal lymphadenectomy for groin lymph node metastases from melanoma

Sommariva, Antonio; Pasquali, Sandro; Cona, Camilla; Ciccarese, Angelo; Saadeh, Luca Maria; Campana, Luca Giovanni; Meroni, Muzio; Róssi, Carlo

doi:10.1002/bjs.10140

Cited by 19 publications

(20 citation statements)

References 37 publications

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“…This change of technique (with fewer wound complications) allows us to discharge patients with ambulatory drainage management and with a significant earlier drainage removal. Other authors have changed the open approach to videoscopy of not only the pelvic time of lymphadenectomy, but also the inguinal time [ 6 ]. The addition of inguinal videoscopy doubled the surgical time.…”

Section: Discussionmentioning

confidence: 99%

“…The addition of inguinal videoscopy doubled the surgical time. The wound infection rate was 13% and seroma formation 30%, with no evidence of wound dehiscence [ 6 ]. The median hospital stay (7 days) was similar to our series.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, many physicians have introduced technical modifications to reduce morbidity, for example: transposition of the sartorius muscle, use of fibrin, conservation of the greater saphenous vein (GSV) and minimally invasive incisions [ 5 ]. Other groups have opted for minimally invasive approaches for pelvic dissection and for inguinal dissection [ 6 ]. Following this tendency, our group switched from open inguinal lymphadenectomy (OIL) [ 7 ] to laparoscopically assisted pelvic lymph node dissection and inguinal lymphadenectomy through transverse incision (LIIL) (instead of the ‘lazy S’ described by Karakoisis [ 8 ]), preserving the GSV whenever possible.…”

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confidence: 99%

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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%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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

et al. 2020

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“…To assess the lymphatic system, ICG is injected subcutaneously, binds to albumin, and is taken up by the lymphatic system, where it can be detected deep in the tissues by a near infrared camera system . Video‐assisted lymphadenectomy (videoscopic groin and axilla dissection) are promising tools for minimizing morbidity and augmenting patient satisfaction and quality of life . ICG lymphography during videoscopic axillary lymphadenectomy has been tested; it allows a clear visualization of the lymphatics, which enables optimal leakage control .…”

Section: Discussionmentioning

confidence: 99%

Indocyanine green‐enhanced fluorescence‐guided video‐assisted axillary surgery for chronic lymphocele

Mazza

Sommariva

2018

Asian J Endoscop Surgery

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Introduction Lymphocele occurs frequently after regional lymph node dissection. Surgery with multiple lymphatic ligation represents the only reliable treatment for long‐standing chronic lymphocele. Materials and Surgical Technique We report the case of a man with chronic axillary seroma after axillary lymphadenectomy for melanoma. The lymphocele was unresponsive to conservative management and successfully treated with indocyanine green lymphography‐guided video‐assisted axillary surgery. Discussion Indocyanine green‐enhanced fluorescence video‐assisted identification and ligation of lymph vessels can simply and effectively treat recurrent chronic lymphocele after axillary or groin lymphadenectomy.

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“…The approach has never been used for patients with vulval cancer; however, it has been used in patients with melanoma or penile cancer ( 6 , 8 , 10 , 11 , 12 ). We present the possible advantages of such an approach in patients with vulval cancer based on the experience from other specialties or the videoscopic technique ( 13 , 14 , 15 ). The evidence from videoscopic groin node dissections suggests that the postoperative complication rates are lower compared with the open approach.…”

Section: Discussionmentioning

confidence: 99%

The possible role of the da Vinci robot for patients with vulval carcinoma undergoing inguinal lymph node dissection

Iavazzo

Iavazzo²,

Gkegkes

2017

J Turkish German Gynecol Assoc

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Inguinal lymph node dissection represents the gold standard of treatment for patients with vulval carcinoma. The application of minimally invasive techniques, such as robotics, in the surgical treatment of gynecologic cancer, reduced the rate of postoperative complications, which has an important impact on the quality of patients’ life. Robotic inguinal lymph node dissection is a safe and oncologically effective but expensive and time-consuming approach in patients with penile cancer or melanoma. However, it is related with less postoperative complications, especially less lymphocele or lymphedema rates, and can improve the patients’ quality of life while minimizing cost for health systems. The introduction of robot- assisted inguinal lymph node dissection in the treatment of vulval carcinoma may be identified as a provisional option for the gynecologic oncologist. Our intention was to present a brief review/commentary on the possible use of a robot-assisted technique on inguinal lymphadenectomy for patients with vulval cancer.

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Videoscopic ilioinguinal lymphadenectomy for groin lymph node metastases from melanoma

Abstract: Videoscopic ilioinguinal lymphadenectomy for melanoma groin lymph node metastases is technically feasible, safe, and associated with acceptable morbidity and oncological outcome.

Cited by 19 publications

References 37 publications

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

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

Indocyanine green‐enhanced fluorescence‐guided video‐assisted axillary surgery for chronic lymphocele

The possible role of the da Vinci robot for patients with vulval carcinoma undergoing inguinal lymph node dissection

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