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Expanded criteria for Video Endoscopic Inguinal Lymphadenectomy (VEIL) in penile cancer: palpable lymph nodes
Carlos, Alexandre Stievano; Romanelli, Pedro; Nishimoto, Ricardo; Montoya, Luis M.; Juliano, Cesar Augusto Braz; Costa Jr, Renato Meirelles M. da; Pompeo, Antonio C. L.; Tobias-Machado, Marcos.
  • Carlos, Alexandre Stievano; Belo Horizonte and National Institute of Neoplastic Diseases (LMM). Santo Andre; Alberto Cavalcanti Hospital (PR, RN). ABC Medical School (ASC, CABJ, RMMCJr, ACLP, MTM). Lima. PE
  • Romanelli, Pedro; Belo Horizonte and National Institute of Neoplastic Diseases (LMM). Santo Andre; Alberto Cavalcanti Hospital (PR, RN). ABC Medical School (ASC, CABJ, RMMCJr, ACLP, MTM). Lima. PE
  • Nishimoto, Ricardo; Belo Horizonte and National Institute of Neoplastic Diseases (LMM). Santo Andre; Alberto Cavalcanti Hospital (PR, RN). ABC Medical School (ASC, CABJ, RMMCJr, ACLP, MTM). Lima. PE
  • Montoya, Luis M.; Belo Horizonte and National Institute of Neoplastic Diseases (LMM). Santo Andre; Alberto Cavalcanti Hospital (PR, RN). ABC Medical School (ASC, CABJ, RMMCJr, ACLP, MTM). Lima. PE
  • Juliano, Cesar Augusto Braz; Belo Horizonte and National Institute of Neoplastic Diseases (LMM). Santo Andre; Alberto Cavalcanti Hospital (PR, RN). ABC Medical School (ASC, CABJ, RMMCJr, ACLP, MTM). Lima. PE
  • Costa Jr, Renato Meirelles M. da; Belo Horizonte and National Institute of Neoplastic Diseases (LMM). Santo Andre; Alberto Cavalcanti Hospital (PR, RN). ABC Medical School (ASC, CABJ, RMMCJr, ACLP, MTM). Lima. PE
  • Pompeo, Antonio C. L.; Belo Horizonte and National Institute of Neoplastic Diseases (LMM). Santo Andre; Alberto Cavalcanti Hospital (PR, RN). ABC Medical School (ASC, CABJ, RMMCJr, ACLP, MTM). Lima. PE
  • Tobias-Machado, Marcos; Belo Horizonte and National Institute of Neoplastic Diseases (LMM). Santo Andre; Alberto Cavalcanti Hospital (PR, RN). ABC Medical School (ASC, CABJ, RMMCJr, ACLP, MTM). Lima. PE
Int. braz. j. urol ; 39(6): 893-894, Nov-Dec/2013.
Article in English | LILACS | ID: lil-699132
ABSTRACT
Introduction Open inguinal lymphadenectomy is the gold standard for the treatment of inguinal metastasis in patients with penile cancer (PC). Recently the Video Endoscopic Inguinal Lymphadenectomy (VEIL) was proposed as an option to reduce the morbidity of the procedure in patients without palpable inguinal lymph nodes (PILN), however the oncological equivalency in patients with PILN remains poorly studied. The aims of this video are the demonstration of VEIL in patients with PILN and present the preliminary experience comparing patients with and without PILN. Materials and Methods The video illustrates the procedure performed in two cases that were previously underwent partial penectomy for PC with PILN. Data from the series of 15 patients (22 limbs operated) with PILN underwent VEIL were compared with our series of VEIL in 25 clinically N0 patients (35 limbs operated). Results The comparison between the groups with and without PILN found, respectively, these

outcomes:

age 52,45 × 53,2 years, operative time 126,8 × 95,5 minutes, hospital stay 5. × 3.1 days, drainage time 6.7 × 5.7 days, 9 resected lymph nodes on average in both groups, global complications 32% × 26%, cellulitis 4.5% × 0%, lymphocele 23% in both groups, skin necrosis 0% × 3%, myocutaneous necrosis 4.5% × 0%, pN+ 33% × 32%, cancer specific mortality 7% × 5% and mean follow-up 17.3 × 35.3 months. None of the variables presented p < 0.05. Conclusions VEIL is a safe complementary procedure for treatment of PC, even in patients with PILN. Oncological results in patients with PILN seem to be appropriate but are still very premature. Prospective multicenter studies with larger samples and long-term follow-up should be conducted to determine the oncological equivalence of VEIL compared with open surgery in patients with PILN. .
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Penile Neoplasms / Carcinoma, Squamous Cell / Video-Assisted Surgery / Lymph Node Excision Type of study: Controlled clinical trial Limits: Adult / Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2013 Type: Article Affiliation country: Peru Institution/Affiliation country: Belo Horizonte and National Institute of Neoplastic Diseases (LMM)/PE

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Full text: Available Index: LILACS (Americas) Main subject: Penile Neoplasms / Carcinoma, Squamous Cell / Video-Assisted Surgery / Lymph Node Excision Type of study: Controlled clinical trial Limits: Adult / Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2013 Type: Article Affiliation country: Peru Institution/Affiliation country: Belo Horizonte and National Institute of Neoplastic Diseases (LMM)/PE