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Updated: Dec 11, 2025
Intravital Microscopy of the Inguinal Lymph Node
Published on: April 4, 2011
Laparoscopically assisted ilio-inguinal lymph node dissection versus inguinal lymph node dissection in melanoma
Enrique Boldo1, Araceli Mayol1, Rafael Lozoya1
1Department of Surgery Consorcio Hospitalario Provincial de Castellon, Castellón, Spain.
Aim:
Morbidity of open inguinal lymphadenectomy (OIL) is high. We use laparoscopy for pelvic time, preservation of the greater saphenous vein and transverse inguinal incisions (laparoscopically assisted ilio-inguinal lymphadenectomy, LIIL) to improve postoperative outcomes.
Patients & Methods:
Retrospective comparison of 14 patients who underwent LIIL and seven patients who underwent OIL.
Results:
Fourteen LIIL compared with seven OIL showed a statistically significant reduction in morbidity (15.3 vs 75%) and hospital stay (7 vs 15.7 days). Pelvic lymph node involvement (27%) was not detected preoperatively. With a mean follow-up of 36.2 (range: 3-137) months, local recurrence rate was 58.3% in LIIL and 40% in OIL. Overall survival was significantly higher in OIL than in LIIL.
Conclusion:
Compared with OIL, LIIL reduced postoperative complications and hospital stay.
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