INTRODUCTION: Endoscopic Inguinal Lymphadenectomy is an evolution of laparoscopic surgery thanks to background in these techniques.
This is a new technique and the indications in the field of penile tumors today are expanding. The technique aims at reducing the morbidity of the procedure without compromising the cancer control or reducing the template of the dissection.
MATERIAL AND METHODS: We present the modified endoscopic inguinal lymphadenectomy in a 70 years-old male patient with penile melanoma and positive sentinel lymph node in left inguinal limb. Intraoperative data, pathology, post operatory evolution and oncological follow-up is described
RESULTS: Operative time was 120 minutes. Nine lymph nodes were retrieved and none of then showed positivity at pathology. There were no complications. The drain was kept for five days. After 12 months of follow up, no signs of disease progression were noted.
CONCLUSION: The endoscopic inguinal lymphadenectomy is feasible in clinical practice. New studies with a greater number of patients and long-term follow-up may confirm the oncological efficacy and possible lower morbidity of these new approach.
Written by:
Alvarez-Maestro M, Rios Gonzalez E, Martinez-Piñeiro L, Sanchez Gomez FJ. Are you the author?
Departamento de Urología, Hospital Universitario Infanta Sofía, Madrid, España.
Reference: Actas Urol Esp. 2013 Jun 12. pii: S0210-4806(13)00059-4.
doi: 10.1016/j.acuro.2013.02.003
PubMed Abstract
PMID: 23768501
Article in English, Spanish.
UroToday.com Penile and Urethral Cancers Section
