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Minimally Invasive Surgical Approaches to Inguinal Nodes in the Absence of Palpable Adenopathy

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Part of the Current Clinical Urology book series (CCU)

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.

Keywords

  • Video endoscopic inguinal lymphadenectomy (VEIL)
  • Groin dissection
  • Penile cancer
  • Lymph node excision

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Correspondence to Viraj Master M.D. Ph.D. F.A.C.S. .

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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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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-6677-6

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