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
Identifier
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
URL Address
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 April 20, 2024, https://neomed.omeka.net/items/show/11261.