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Endoscopic lymphadenectomy for penile carcinoma
Rene Sotelo1, Rafael Sánchez-Salas, Oswaldo Carmona
1Section of Laparoscopic and Minimally Invasive Surgery, Department of Urology, La Floresta Medical Institute, Caracas, Venezuela.
Journal of Endourology
|April 25, 2007
Summary
Endoscopic lymphadenectomy for penile carcinoma (ELPC) offers a safe alternative to traditional groin dissection, reducing wound complications. This minimally invasive technique shows promise for treating penile cancer with lymph node metastasis.
Area of Science:
- Oncology
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Groin dissection is the standard treatment for penile carcinoma with inguinal lymph node metastasis.
- Standard open groin dissection is associated with significant wound-related complications.
- Modified approaches aim to reduce morbidity without compromising oncologic outcomes.
Purpose of the Study:
- To present the technique for endoscopic lymphadenectomy for penile carcinoma (ELPC).
- To evaluate the safety and feasibility of ELPC.
- To assess wound-related complications associated with ELPC compared to open dissection.
Main Methods:
- Eight patients with clinical stage T(2) N(0-3)M(0) penile carcinoma underwent ELPC.
- Preoperative Doppler ultrasound mapping of inguinal lymph nodes and saphenous vein was performed.
- Superficial and/or deep inguinal and pelvic lymph node dissection was completed endoscopically.
Main Results:
- Fourteen endoscopic lymphadenectomies were performed in eight patients.
- Median operative time was 91 minutes, with an average of 9 lymph nodes removed.
- No perioperative complications were observed; three cases (23%) developed lymphoceles, but no wound complications occurred.
Conclusions:
- Endoscopic lymphadenectomy for penile carcinoma (ELPC) is a safe and feasible surgical technique.
- ELPC appears to reduce the incidence of wound-related complications compared to standard open groin dissection.
- This minimally invasive approach offers a promising alternative for managing penile cancer with lymph node involvement.
