Abstract
Groin lymphadenectomy is believed to be diagnostic as well as therapeutic mainly due to a prolonged loco-regional phase of disease in patients with penile cancer. Complication rate of traditional open groin lymphadenectomy has been reported from 50 to 100 %. The use of minimally invasive endoscopic techniques represents a favorable approach to treat patients with penile cancer and decrease post-surgical morbidity. In this chapter, we will review both imaging and minimally invasive surgical approaches to diagnosing and treating patients with penile cancer in the absence of inguinal lymphadenopathy. Video endoscopic inguinal lymphadenectomy (VEIL) was first described in 2003 and has since evolved to be safe and efficacious in patients with palpable lymphadenopathy as well as for non-palpable lymph nodes in patients with high-risk features of localized disease (≥pT2, vascular invasion, poorly differentiated histology). In this chapter, we review the surgical technique and minimally invasive surgical approach to performing an endoscopic groin dissection.
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References
Kroon BK, Horenblas S, Lont AP, Tanis PJ, Gallee MP, Nieweg OE. Patients with penile carcinoma benefit from immediate resection of clinically occult lymph node metastases. J Urol. 2005;173(3):816–9.
Protzel C, Alcaraz A, Horenblas S, Pizzocaro G, Zlotta A, Hakenberg OW. Lymphadenectomy in the surgical management of penile cancer. Eur Urol. 2009;55(5):1075–88.
Bevan-Thomas R, Slaton JW, Pettaway CA. Contemporary morbidity from lymphadenectomy for penile squamous cell carcinoma: the M.D. Anderson Cancer Center Experience. J Urol. 2002;167(4):1638–42.
Spiess PE, Hernandez MS, Pettaway CA. Contemporary inguinal lymph node dissection: minimizing complications. World J Urol. 2009;27(2):205–12.
Tobias-Machado M, Tavares A, Molina Jr WR, Forseto Jr PH, Juliano RV, Wroclawski ER. Video endoscopic inguinal lymphadenectomy (VEIL): minimally invasive resection of inguinal lymph nodes. Int Braz J Urol. 2006;32(3):316–21.
Sotelo R, Sanchez-Salas R, Carmona O, Garcia A, Mariano M, Neiva G, et al. Endoscopic lymphadenectomy for penile carcinoma. J Endourol. 2007;21(4):364–7. Discussion 7.
Herrel LA, Butterworth RM, Jafri SM, Ying C, Delman KA, Kooby DA, et al. Bilateral endoscopic inguinofemoral lymphadenectomy using simultaneous carbon dioxide insufflation: an initial report of a novel approach. Can J Urol. 2012;19(3):6306–9.
Ali-Khan AS, Crundwell M, Stone C. Inguinal lymphadenectomy combined with staging endoscopic pelvic node sampling for stage III melanoma. J Plast Reconstr Aesthet Surg. 2009;62(8):1063–7.
Josephson DY, Jacobsohn KM, Link BA, Wilson TG. Robotic-assisted endoscopic inguinal lymphadenectomy. Urology. 2009;73(1):167–70. Discussion 70–1.
Tobias-Machado M, Neto AS. Re: Josephson et al.: robotic-assisted endoscopic inguinal lymphadenectomy (Urology 2009;73:167–170). Urology. 2009;73(6):1424–5.
Matin SF, Cormier JN, Ward JF, Pisters LL, Wood CG, Dinney CP, et al. Phase 1 prospective evaluation of the oncological adequacy of robotic assisted video-endoscopic inguinal lymphadenectomy in patients with penile carcinoma. BJU Int. 2013;111(7):1068–74.
Sotelo R, Cabrera M, Carmona O, de Andrade R, Martin O, Fernandez G. Robotic bilateral inguinal lymphadenectomy in penile cancer, development of a technique without robot repositioning: a case report. Ecancermedicalscience. 2013;7:356.
Tobias-Machado M, Correa WF, Reis LO, Starling ES, de Castro NO, Juliano RV, et al. Single-site video endoscopic inguinal lymphadenectomy: initial report. J Endourol. 2011;25(4):607–10.
Yuan JB, Chen MF, Qi L, Li Y, Li YL, Chen C, et al. Preservation of the saphenous vein during laparoendoscopic single-site inguinal lymphadenectomy: comparison with the conventional laparoscopic technique. BJU Int. 2015;115(4):613–8.
Catalona WJ. Modified inguinal lymphadenectomy for carcinoma of the penis with preservation of saphenous veins: technique and preliminary results. J Urol. 1988;140(2):306–10.
Zhang SH, Sood AK, Sorosky JI, Anderson B, Buller RE. Preservation of the saphenous vein during inguinal lymphadenectomy decreases morbidity in patients with carcinoma of the vulva. Cancer. 2000;89(7):1520–5.
Abbas S, Seitz M. Systematic review and meta-analysis of the used surgical techniques to reduce leg lymphedema following radical inguinal nodes dissection. Surg Oncol. 2011;20(2):88–96.
Hegarty PK, Dinney CP, Pettaway CA. Controversies in ilioinguinal lymphadenectomy. Urol Clin North Am. 2010;37(3):421–34.
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Patel, A.P., Master, V. (2017). Minimally Invasive Surgical Approaches to Inguinal Nodes in the Absence of Palpable Adenopathy. In: Spiess, P. (eds) Penile Cancer. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-6679-0_6
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DOI: https://doi.org/10.1007/978-1-4939-6679-0_6
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