Comparison of efficiency of laparoscopic and open inguinal lymphadenectomy

Abstract

Objective To compare the efficiency and complications of laparoscopic and open inguinal lymphadenectomy. Method Nineteen patients underwent one side inguinal lymphadenectomy were collected for the study from September 2014 to September 2015. The patients' average age was 55.2 years (ranging 38 to 69 years). Nine patients underwent laparoscopic surgery, and 10 patients underwent open surgery. Operation time, hemorrhage, complications, hospital stay, and wound healing time were compared between the two groups. Result Surgical time[(151.11±33.27)min vs. (156.81±42.14)min], number of lymph node resected[(7.00±2.60) vs. (11.73±6.10)], and hospital stay[(8.63±1.41) d vs. (9.69±2.39)d] showed no statistic difference between laparoscopic surgery group and open surgery group(P>0.05). However, hemorrhage[(29.44±17.40)ml vs. (57.73±26.96)ml], drainage time[(7.33±2.06)d vs. (12.18±2.71)d], Clevien gradeⅡcomplications (0 vs. 30%), and wound healing time[(7.33±1.12)vs. (12.45±2.30)]were significantly reduced in laparoscopic surgery group compared with open surgery group(P<0.05). Conclusions Compared with open surgery, laparoscopic surgery could achieve the same efficiency, and had the advantage of reduction of complications, wound healing time as well as in-surgery hemorrhage. Key words: lymphadenectomy; Laparoscopic surgery; Complications