V374 PRELIMINARY COMPARISON BETWEEN CONVENTIONAL X SINGLE SITE VIDEO ENDOSCOPIC INGUINAL LYMPHADENECTOMY IN PENILE CANCER PATIENTS

Abstract

You have accessJournal of UrologyMale Voiding Dysfunction (BPH & Incontinence), Oncology & Prostate Cancer1 Apr 2011V374 PRELIMINARY COMPARISON BETWEEN CONVENTIONAL X SINGLE SITE VIDEO ENDOSCOPIC INGUINAL LYMPHADENECTOMY IN PENILE CANCER PATIENTS Marcos Tobias-Machado, Caio E.V. Pane, Eduardo S. Starling, Walter Correa, Oseas Castro-Neves, Jarques Lucio, Cesar A.B. Juliano, and Antonio C.L. Pompeo Marcos Tobias-MachadoMarcos Tobias-Machado Sao Paulo, Brazil More articles by this author , Caio E.V. PaneCaio E.V. Pane Sao Paulo, Brazil More articles by this author , Eduardo S. StarlingEduardo S. Starling Sao Paulo, Brazil More articles by this author , Walter CorreaWalter Correa Sao Paulo, Brazil More articles by this author , Oseas Castro-NevesOseas Castro-Neves Sao Paulo, Brazil More articles by this author , Jarques LucioJarques Lucio Sao Paulo, Brazil More articles by this author , Cesar A.B. JulianoCesar A.B. Juliano Sao Paulo, Brazil More articles by this author , and Antonio C.L. PompeoAntonio C.L. Pompeo Sao Paulo, Brazil More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.461AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Video endoscopic inguinal lymphadenectomy (VEIL) in penile cancer was described in clinical arena 6 years ago to duplicate the open template reducing morbidity and without compromising the oncological control. Reduced morbidity specially concerning skin related events was achieved by 3 port-technique initially described. In the last 3 years feasibility and potential advantages of single site surgery can be compared to conventional laparoscopic surgery for several indications. The aim of this report is describe a preliminary experience with single site VEIL (SSVEIL) compared to conventional VEIL to manage inguinal nodes in squamous cell penile carcinoma. METHODS Three patients with grade 2–3 squamous cell carcinoma and impalpable inguinal nodes underwent partial penectomy with pathological report that shows pT2 tumor with or without lymphovascular invasion and free surgical margins. Patients were considered as high risk to inguinal dissemination and bilateral inguinal lymph node dissection was indicated. After assigned informed consent patients underwent VEIL with saphenous vein preservation in the left leg and SSVEIL on the other side. It was compared operative time, blood loss, intraoperative and postoperative complications, post operative drainage volume, number of retrieved and positive lymph nodes, subjective pain and aesthetic patient t evaluation and preliminary oncological outcome. RESULTS Mean operative time was 100 (90–110) min for VEIL and 120 (105–135) for SSVEIL. Blood loss was less than 50 ml bilaterally. There were no intraoperative complications. In one side of VEIL(15%) occurred a lymphocele that was solved with drainage. There were no difference in amount of analgesia in both groups. All patients were discharged at 1st postoperative day. Drainage lesser than 50 ml was achieved at a mean of 5 (3–10)days bilaterally. Pathology report shows that a mean of 8 (6–12) nodes were removed in both sides without malignancy. No evidence of recurrence or port seed metastasis were observed in 6 months of follow-up. Patients preferred the aesthetic result of SSVEIL. CONCLUSIONS SSVEIL is a safe and feasible technique to patients with penile carcinoma. Preliminary data suggest that SSVEIL allows decreased postoperative morbidity similar VEIL with better aesthetic result. New reports with more patients and a larger follow-up will be necessary to define the real value of this new technique in the urologic oncology armamentarium. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e152 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marcos Tobias-Machado Sao Paulo, Brazil More articles by this author Caio E.V. Pane Sao Paulo, Brazil More articles by this author Eduardo S. Starling Sao Paulo, Brazil More articles by this author Walter Correa Sao Paulo, Brazil More articles by this author Oseas Castro-Neves Sao Paulo, Brazil More articles by this author Jarques Lucio Sao Paulo, Brazil More articles by this author Cesar A.B. Juliano Sao Paulo, Brazil More articles by this author Antonio C.L. Pompeo Sao Paulo, Brazil More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...