Endoscopic Inguinal Lymphadenectomy for Penile Carcinoma and Genital Malignancy: A Preliminary Report

Abstract

Endoscopic inguinal lymphadenectomy is feasible for patients with penile cancer and genital malignancy. The technique reduces the risk of complication rate, and the oncologic outcome is highly promising. Larger studies, longer term follow-up are needed to assess the oncologic control and possible morbidity.

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

“…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).…”

Video endoscopic inguinal lymphadenectomy for lymph node metastasis from solid tumors

“…Reported causes of conversion were: femoral vein lesion, 28 unclear anatomy or inability to proceed, 31,35 rise in the level of carbon dioxide in the air exhaled from the body (end-tidal CO 2 levels). 31 An increased end tidal CO 2 level was reported in a further 4 cases, 31,34,35 and successfully managed with proper anesthesiology technique or by intermittently decompressing the operative field. Intraoperative bleeding was minimal when specifically addressed 32,35 and not significantly different from the traditional procedure in one comparative study (30 cc versus 25 cc, p ¼ 0.007).…”

“…In one study, after a median follow-up of 55.3 months, a local recurrence rate of 6.6% was reported following VEIL, apparently not different from the open 29 20 33.0 15 0 Mean 120 (90e160) vs 92 (80e110) p ¼ 0.0002 Sotelo et al 30 14 87.5 15 0 60 (range 50e120) Delman et al 31 45 40.6 15e25 4.4 165 (range 75e245) Xu et al 32 17 0 10e15 0 94 (range 70e150) Schwentner et al 33 28 43.0 2e5 0 Mean 136.3 (range 87e186) vs 101,7 (range 38e195) p < 0.001 Sudhir et al 37 39 43.6 5e16 0 n.r. Zhou et al 34 11 36.4 n.r. 0 Mean 126 (range 90e180) Abbott et al 35 13 0 15e25 7.7 245 (IQR 205e366) vs 138 (IQR 102e179) p ¼ 0.0003 Pahwa et al 36 10 0 12 0 135 (range 120e180) n.r.…”

“…The saphenous vein was preserved in three studies, 28,33,36 removed in three, 29,31,35 and preserved in 50 and 63% of the procedures in the remaining two trials, respectively. 30,34 The saphenous vein was sectioned with endostaplers or endoclips. Removal of the surgical specimen was generally performed using an endobag.…”

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

“…Lymphocele was seen in 2/10 (20%) of patients, lymph node yield was 7-12 lymph nodes. A Chinese group [13] performed 11 lymphadenectomies, with two cases of minor complications; one patient had a seroma requiring needle aspiration and one lymphocele. Lymph node yield averaged 12.3 (range: 7-15) nodes per leg, among which mean deep nodes of 1.1 (range: 0-3) were included [13].…”