Inguinal lymph node dissection in the era of minimally invasive surgical technology.

Title

Inguinal lymph node dissection in the era of minimally invasive surgical technology.

Creator

Nabavizadeh R;Petrinec B;Nabavizadeh B;Singh A;Rawal S;Master VA

Publisher

Urologic Oncology

Date

2020
2020-08-25

Description

Background: Inguinal lymph node dissection (ILND) is an essential step in both treatment and staging of several malignancies including penile and vulvar cancers. Various open, video endoscopic, and robotic-assisted techniques have been utilized so far. In this review, we aim to describe available minimally invasive surgical approaches for ILND, and review their outcomes and complications.; Methods: The PubMed, Wiley Online Library, and Science Direct databases were reviewed in February 2020 to find relevant studies published in English within 2000-2020.; Findings: There are different minimally invasive platforms available to accomplish dissection of inguinal nodes without jeopardizing oncological results while minimizing postoperative complications. Video Endoscopic Inguinal Lymphadenectomy and Robotic Video Endoscopic Inguinal Lymphadenectomy are safe and achieve the same nodal yield, a surrogate metric for oncological adequacy. When compared to open technique, Video Endoscopic Inguinal Lymphadenectomy and Robotic Video Endoscopic Inguinal Lymphadenectomy may offer faster postoperative recovery and fewer postoperative complications including wound dehiscence, necrosis, and infection. The relatively high rate and severity of postoperative complications hinders utilization of recommended ILND for oncologic indications. Minimally invasive approaches, using laparoscopic or robotic-assisted platforms, show some promise in reducing the morbidity of this procedure while achieving adequate short and intermediate term oncological outcomes. (Copyright © 2020 Elsevier Inc. All rights reserved.)

Subject

Melanoma; Penile cancer; Endoscopic; Inguinal lymph nodes; Inguinal lymphadenectomy; Minimally invasive; Robotic; Video-assisted; Vulvar cancer

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

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ISSN

1873-2496

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of General Surgery

Update Year & Number

September 2020 List

Affiliated Hospital

Summa Health System Akron City Hospital

Citation

Nabavizadeh R;Petrinec B;Nabavizadeh B;Singh A;Rawal S;Master VA, “Inguinal lymph node dissection in the era of minimally invasive surgical technology.,” NEOMED Bibliography Database, accessed June 23, 2021, https://neomed.omeka.net/items/show/11261.

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