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Updated: Jun 29, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Robotic-assisted endoscopic inguinal lymphadenectomy.

David Y Josephson¹, Kenneth M Jacobsohn, Brian A Link

¹Department of Urology, City of Hope National Medical Center, Duarte, California, USA.

|October 3, 2008

Summary

This study introduces robotic-assisted endoscopic inguinal lymph node dissection for penile cancer patients with palpable nodes. This minimally invasive technique may reduce complications while adhering to oncologic standards.

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Area of Science:

Urology
Surgical Oncology
Minimally Invasive Surgery

Background:

Open inguinal lymphadenectomy is standard for penile squamous cell carcinoma with metastasis risk.
Patients with palpable inguinal nodes often require lymphadenectomy for staging and treatment.

Observation:

A case report detailing robotic-assisted endoscopic bilateral inguinal lymph node dissection.
The procedure utilized a small thigh incision and robotic instruments for dissection.

Findings:

This represents the first reported instance of robotic-assisted endoscopic inguinal lymph node dissection.
The technique successfully dissected superficial and deep lymph nodes within the defined template.

Implications:

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Last Updated: Jun 29, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Robotic assistance offers improved instrument flexibility and magnification for inguinal lymphadenectomy.

This minimally invasive approach may reduce morbidity compared to open procedures.

Oncologic principles are maintained, potentially improving outcomes for penile cancer patients.