To evaluate the modifications and feasibility of radical videoscopic inguinal lymphadenectomy (VIL).
From January 2010 to December 2017, more than 200 patients who have underwent bilateral radical inguinal lymphadenectomy for penile cancer in Sun Yat-sen University Cancer Center. And there were 33 patients who received radical VIL and 174 patients who received open inguinal lymphadenectomy (OIL). According to similar factors of age, BMI, T stage and N stage, two matched groups were created with a rate of 1:2, one group received VIL and another group received OIL. The numbers of harvested lymph nodes, operating times and complications were compared between the two groups. Descriptive statistical analyses, t-tests, chi-square tests and rank sum tests were performed.
In total, 93 patients were selected, including 31 patients who underwent bilateral VIL and 62 who underwent OIL. The numbers of harvested lymph nodes did not differ significantly (P= 0.983), the operating time was longer for the videoscopic inguinal lymphadenectomy than the open lymphadenectomy (P < 0.01), and the morbidity was lower among the videoscopic inguinal lymphadenectomy than the open lymphadenectomy.
Modified radical videoscopic inguinal lymphadenectomy is feasible, practical, and results in reduced morbidity. The dissecting field and the defined plane were critical to these modifications.
Journal of endourology. 2018 Jul 31 [Epub ahead of print]
Yunlin Ye, Shenjie Guo, Zaishang Li, Kai Yao, Dong Chen, Yanjun Wang, Peng Chen, Hui Han, Fangjian Zhou
Urology , Dongfengdong Road 651 , Guangzhou, Guangdong, China , 510060 ; ., Sun Yat-sen University, Cancer Center, Urology 651 Dongfeng East Road Guangzhou, CN 510060, urology, Guangzhou, Guangdong, China ; ., Shenzhen People's Hospital, The second clinical college of Jinan University, Urology, Shenzhen, China ; ., Guangzhou, China ; ., Sun Yat-sen University Cancer Center, 71067, Guangzhou, Guangdong, China ; ., Sun Yat-sen University, Cancer Center, Urology 651 Dongfeng East Road Guangzhou, CN 510060, urology, Guangzhou, Guangdong, China ; ., Urumchi, China ; ., Sun Yat-sen University Cancer Center, 71067, Guangzhou, Guangdong, China ; ., Sun Yat-sen University, Cancer Center, Urology 651 Dongfeng East Road Guangzhou, CN 510060, Urology, Guangzhou, Guangdong, China ; .