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...

Full description

Bibliographic Details
Main Authors: YANG Mengjun, DENG Chunyan, WEI Ling, YANG Nengrui, LIU Yang
Format: Article
Language:zho
Published: Editorial Office of Journal of Third Military Medical University 2022-04-01
Series:Di-san junyi daxue xuebao
Subjects:
Online Access:http://aammt.tmmu.edu.cn/Upload/rhtml/202110172.htm
_version_ 1818278016055246848
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.
first_indexed 2024-12-12T23:10:43Z
format Article
id doaj.art-e5fe2df7e58446c39f138409234db8df
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
work_keys_str_mv AT yangmengjun robotassistedlaparoscopicantegradeinguinallymphadenectomyforpenilecancerpatientsclinicalreportof10cases
AT dengchunyan robotassistedlaparoscopicantegradeinguinallymphadenectomyforpenilecancerpatientsclinicalreportof10cases
AT weiling robotassistedlaparoscopicantegradeinguinallymphadenectomyforpenilecancerpatientsclinicalreportof10cases
AT yangnengrui robotassistedlaparoscopicantegradeinguinallymphadenectomyforpenilecancerpatientsclinicalreportof10cases
AT liuyang robotassistedlaparoscopicantegradeinguinallymphadenectomyforpenilecancerpatientsclinicalreportof10cases