You have accessJournal of UrologyLate-Breaking S&T Poster1 Apr 2016LB-S&T-19 RADICAL VIDEOSCOPIC INGUINAL LYMPHADENECTOMIES IN 70 CASES: A STEP-BY-STEP TECHNIQUE AND PRELIMINARY RESULTS Yunlin Ye and Hui Han Yunlin YeYunlin Ye More articles by this author and Hui HanHui Han More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.03.100AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Radical inguinal lymphadenectomy is the standard surgical approach for patients at risk for lymph node metastases as recommended in the guidelines. Recent reports have demonstrated that videoscopic inguinal lymphadenectomy (VIL) was associated with decreased morbidity and comparable oncological control in short-term follow-ups. While, most reported VILs have been performed in the femoral triangle, which might result in residual lymph node tissue. So radical VIL was performed in this study to evaluate its modifications and feasibility. METHODS Radical VIL had been performed in 70 cases of 38 patients, with two modifications. First, the scope of the radical inguinal lymphadenectomy was precisely achieved through improved positioning and fine-needle penetration guidance. The patient was placed in a low lithotomy position; the body and thigh were straight, the thigh was at 20-30° of external rotation, and the legs drooped naturally. During the operation, this positioning was critical to expose the entire Daseler’s area, and the boundaries were defined accurately by fine-needle penetration guidance. Second, the clear dissection plane that was created through the 4-cm incision along the inferior boundary ensured en bloc inguinal lymph node dissection, and we were able to identify three useful anatomic markers, i.e., the white, semi-hyaline membrane, under the superficial layer of Camper’s fascia, the fascia lata and SV. RESULTS From August 2014 to October 2015, 70 VILs were performed in 38 patients. The clinical characteristics of the patients are listed in Table 1. According to the Clavien-Dindo classification, 6 lateral complications were observed in the patients who underwent VIL. Complications were detected as illustrated in Table 2, and no grade III or IV complications were detected. CONCLUSIONS Modified radical video-scopic inguinal lymphadenectomy is feasible and practical with results in less morbidity, but the oncological outcomes require further investigation. The dissecting field and the defined plane were critical to these modifications. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e344 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Yunlin Ye More articles by this author Hui Han More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...