V11-11 ROBOTIC-ASSISTED INGUINAL LYMPHADENECTOMY FOR PENILE CANCER: STEP-BY-STEP TECHNIQUE

Abstract

You have accessJournal of UrologyCME1 May 2022V11-11 ROBOTIC-ASSISTED INGUINAL LYMPHADENECTOMY FOR PENILE CANCER: STEP-BY-STEP TECHNIQUE Alberto Piana, Josep Maria Gaya, Pietro Diana, Andrea Gallioli, Antonio Rosales, Pavel Gavrilov, Angelo Territo, Joan Palou, and Alberto Breda Alberto PianaAlberto Piana More articles by this author , Josep Maria GayaJosep Maria Gaya More articles by this author , Pietro DianaPietro Diana More articles by this author , Andrea GallioliAndrea Gallioli More articles by this author , Antonio RosalesAntonio Rosales More articles by this author , Pavel GavrilovPavel Gavrilov More articles by this author , Angelo TerritoAngelo Territo More articles by this author , Joan PalouJoan Palou More articles by this author , and Alberto BredaAlberto Breda More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002632.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Penile cancer metastasis follows a well established predictable pattern, being not possible to have distant metastasis without positive inguinal nodes. Therefore, in penile cancer inguinal lymphadenectomy have diagnostic and therapeutic value. Despite robust evidences, many urologists still do not indicate this surgery. Centralization and minimally invasive techniques showed to improve oncological outcomes (overall survival and cancer specific survivor) and to decrease morbidity. METHODS: We present a clinical case of a 51 years old patient underwent robotic-assisted bilateral inguinal lymphadenectomy performed after previous glandectomy and Bracka reconstruction. Pathology showed squamous cell carcinoma pT2, negative margins, p16 negative and no palpable nodes on physical exam of the groin. Because of clinical staging cN0 and the high risk of metastasis, according to the EAU Guidelines, we performed robotic-assisted inguinal lymphadenectomy (RAIL). Da Vinci X system with 3 arms was used and an extra 5mm trocar for the assistant was placed. RESULTS: Surgical time was 210 min and EBL <50 mL. Final pathology was 8 negative nodes in the right groin and 8 negative nodes in the left groin. Drainages were removed after 3 weeks and no major complications were reported. CONCLUSIONS: RAIL is a safe technique with same oncological indications and outcomes with less morbidity and less morbidity compared to the open approach. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e924 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alberto Piana More articles by this author Josep Maria Gaya More articles by this author Pietro Diana More articles by this author Andrea Gallioli More articles by this author Antonio Rosales More articles by this author Pavel Gavrilov More articles by this author Angelo Territo More articles by this author Joan Palou More articles by this author Alberto Breda More articles by this author Expand All Advertisement PDF DownloadLoading ...