[Double-channel expansion of the subcutaneous lower abdominal tunnel for sequential inguinal lymph node dissection in penile cancer - Report of six cases].
Zhonghua Nan Ke Xue
; 29(7): 645-648, 2023 Jul.
Article
em Zh
| MEDLINE
| ID: mdl-38619414
ABSTRACT
OBJECTIVE:
To investigate the safety and efficacy of the two-channel dilatation procedure for subcutaneous tunneling in the lower abdomen during pelvic lymph node dissection for penile cancer.METHODS:
A retrospective analysis was conducted on the clinical data of 6 patients treated from January 2020 to December 2022 using the dual-channel expansion technique for penile cancer lymph node dissection.RESULTS:
All 6 cases ( 12 sides) successfully underwent prophylactic inguinal lymph node dissection. The average laparoscopic dissection time was ( 82.50 ± 12.08) minutes per side, with an average blood loss of ï¼28.33 ± 10.95ï¼ ml. The number of lymph nodes dissected was ï¼11.16 ± 1.02ï¼ for the superficial group and ( 0.67 ± 0.74 ) for the deep group. Postoperative pathology was negative in all cases. The average postoperative hospital stay was ï¼7.33 ± 1.60 ï¼ days, with a catheter removal time of ï¼12.00 ± 2.06ï¼days. Postoperative complications included abnormal skin sensations in 5 sides, lower limb edema in 3 sides, lymphedema in 3 sides, and cellulitis in 1 side. During a follow-up period of ï¼20.60 ± 12.51ï¼months, there were no instances of tumor recurrence or metastasis in the inguinal region among the patients.CONCLUSION:
The dual-channel expansion technique for inguinal lymph node dissection via a subcutaneous tunnel is a safe and feasible treatment for penile cancer. It has a low complication rate, allows for thorough dissection of inguinal lymph nodes, and offers advantages in terms of surgical time.Palavras-chave
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Penianas
Limite:
Humans
/
Male
Idioma:
Zh
Revista:
Zhonghua Nan Ke Xue
Ano de publicação:
2023
Tipo de documento:
Article