Robot-assisted laparoscopic antegrade inguinal lymphadenectomy for penile cancer patients: clinical report of 10 cases
Objective To investigate the efficacy and safety of robot-assisted laparoscopic antegrade inguinal lymph node dissection for patients with penile cancer. Methods A retrospective study was performed on clinical data from 10 patients with penile cancer admitted to the First Affiliated Hospital of Army...
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Editorial Office of Journal of Third Military Medical University
2022-04-01
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Series: | Di-san junyi daxue xuebao |
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Online Access: | http://aammt.tmmu.edu.cn/Upload/rhtml/202110172.htm |
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author | YANG Mengjun DENG Chunyan WEI Ling YANG Nengrui LIU Yang |
author_facet | YANG Mengjun DENG Chunyan WEI Ling YANG Nengrui LIU Yang |
author_sort | YANG Mengjun |
collection | DOAJ |
description | Objective To investigate the efficacy and safety of robot-assisted laparoscopic antegrade inguinal lymph node dissection for patients with penile cancer. Methods A retrospective study was performed on clinical data from 10 patients with penile cancer admitted to the First Affiliated Hospital of Army Medical University from March 2019 to January 2020. All of them were diagnosed with penis squamous cell carcinoma by pathological diagnosis. Robot-assisted laparoscopic antegrade inguinal lymphadenectomy was performed for all patients under general anesthesia. Results The surgery was successfully accomplished at totally 20 sides without intraoperative conversion to open surgery. The operation time was 87.90±11.58 (80~119) min, intraoperative blood loss was 12.50±8.90 (5~25) mL, and number of removed lymph nodes was 22.90±8.90 (10~35). The positive lymph nodes were 6 in 1 case at T2 stage, 3 in 1 case at T2 stage, 3 in 1 case at T1 stage and 2 in 1 case at T1 stage. The postoperative hospital stay was 2.80±1.23 (2~5) d, and the indwelling time of drainage tube was 17.10±3.63 (7~27) d. None of the patients experienced skin necrosis, bleeding, lymphatic fistula, infection and other complications. During the follow-up time of 16.40±6.79 (14~24) months, recurrence and metastasis were found in only 1 case, and not in the other 9 cases. Conclusion Robot-assisted laparoscopic antegrade bilateral inguinal lymphadenectomy is a safe and effective dissection for penile cancer, which can reduce complications and promote rapid recovery after surgery. |
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institution | Directory Open Access Journal |
issn | 1000-5404 |
language | zho |
last_indexed | 2024-12-12T23:10:43Z |
publishDate | 2022-04-01 |
publisher | Editorial Office of Journal of Third Military Medical University |
record_format | Article |
series | Di-san junyi daxue xuebao |
spelling | doaj.art-e5fe2df7e58446c39f138409234db8df2022-12-22T00:08:36ZzhoEditorial Office of Journal of Third Military Medical UniversityDi-san junyi daxue xuebao1000-54042022-04-0144882482810.16016/j.2097-0927.202110172Robot-assisted laparoscopic antegrade inguinal lymphadenectomy for penile cancer patients: clinical report of 10 casesYANG Mengjun0DENG Chunyan1WEI Ling2YANG Nengrui3LIU Yang4Institute of Urology, First Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038Institute of Urology, First Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038Institute of Urology, First Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038Institute of Urology, First Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038Institute of Urology, First Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038Objective To investigate the efficacy and safety of robot-assisted laparoscopic antegrade inguinal lymph node dissection for patients with penile cancer. Methods A retrospective study was performed on clinical data from 10 patients with penile cancer admitted to the First Affiliated Hospital of Army Medical University from March 2019 to January 2020. All of them were diagnosed with penis squamous cell carcinoma by pathological diagnosis. Robot-assisted laparoscopic antegrade inguinal lymphadenectomy was performed for all patients under general anesthesia. Results The surgery was successfully accomplished at totally 20 sides without intraoperative conversion to open surgery. The operation time was 87.90±11.58 (80~119) min, intraoperative blood loss was 12.50±8.90 (5~25) mL, and number of removed lymph nodes was 22.90±8.90 (10~35). The positive lymph nodes were 6 in 1 case at T2 stage, 3 in 1 case at T2 stage, 3 in 1 case at T1 stage and 2 in 1 case at T1 stage. The postoperative hospital stay was 2.80±1.23 (2~5) d, and the indwelling time of drainage tube was 17.10±3.63 (7~27) d. None of the patients experienced skin necrosis, bleeding, lymphatic fistula, infection and other complications. During the follow-up time of 16.40±6.79 (14~24) months, recurrence and metastasis were found in only 1 case, and not in the other 9 cases. Conclusion Robot-assisted laparoscopic antegrade bilateral inguinal lymphadenectomy is a safe and effective dissection for penile cancer, which can reduce complications and promote rapid recovery after surgery.http://aammt.tmmu.edu.cn/Upload/rhtml/202110172.htmrobot-assistedinguinal lymph node dissectionpenile cancer |
spellingShingle | YANG Mengjun DENG Chunyan WEI Ling YANG Nengrui LIU Yang Robot-assisted laparoscopic antegrade inguinal lymphadenectomy for penile cancer patients: clinical report of 10 cases Di-san junyi daxue xuebao robot-assisted inguinal lymph node dissection penile cancer |
title | Robot-assisted laparoscopic antegrade inguinal lymphadenectomy for penile cancer patients: clinical report of 10 cases |
title_full | Robot-assisted laparoscopic antegrade inguinal lymphadenectomy for penile cancer patients: clinical report of 10 cases |
title_fullStr | Robot-assisted laparoscopic antegrade inguinal lymphadenectomy for penile cancer patients: clinical report of 10 cases |
title_full_unstemmed | Robot-assisted laparoscopic antegrade inguinal lymphadenectomy for penile cancer patients: clinical report of 10 cases |
title_short | Robot-assisted laparoscopic antegrade inguinal lymphadenectomy for penile cancer patients: clinical report of 10 cases |
title_sort | robot assisted laparoscopic antegrade inguinal lymphadenectomy for penile cancer patients clinical report of 10 cases |
topic | robot-assisted inguinal lymph node dissection penile cancer |
url | http://aammt.tmmu.edu.cn/Upload/rhtml/202110172.htm |
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