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Artigo Produção Nacional Revisado por pares

BIBTEX RIS

Endoscopic Lymphadenectomy for Penile Carcinoma

2007; Mary Ann Liebert, Inc.; Volume: 21; Issue: 4 Linguagem: Inglês

10.1089/end.2007.9971

1557-900X

René Sotelo, Rafael Sánchez-Salas, Oswaldo Carmona, Alejandro J. Garcia, Mirandolino Batista Mariano, Gilvan Neiva, Gustavo Trujillo, John Novoa, Francisco Cornejo, Antonio Finelli,

Female Genital Mutilation/Cutting Issues

Background and Purpose: Groin dissection remains the gold standard for the treatment of penile carcinoma that has metastasized to the inguinal lymph nodes. However, it is associated with wound-related complications. Modified groin dissection offers a less-radical approach without compromising oncologic outcomes. We present our technique for endoscopic lymphadenectomy for penile carcinoma (ELPC). Patients and Methods: Eight patients with clinical stage T2 N0-3M0 penile carcinoma underwent ELPC. Preoperative Doppler ultrasound mapping of the inguinal lymph nodes and the saphenous vein was performed. Results: Fourteen lymphadenectomies, including superficial with or without deep inguinal and pelvic-node dissection, were completed in eight patients. The median operative time was 91 minutes (range 50–150 minutes), and the mean number of nodes removed was 9 (range 4–15). No perioperative complications occurred. Lymphoceles developed in three groins (23%). No wound-related complications were seen. Conclusions: The ELPC is a safe and feasible technique that appears to diminish the wound-related complications associated with the standard open approach.