Initial experience of video endoscopic inguinal Lymphadenectomy in a center located at northeast brazilian region

Vol. 45 (2): 325-331, March – April, 2019

doi: 10.1590/S1677-5538.IBJU.2018.0521


ORIGINAL ARTICLE

Aurus Dourado Meneses ¹, Pablo Aloisio Lima Mattos ¹, Walberto Monteiro Neiva Eulálio Filho 2 , Taíla Sousa de Moura Fé 3, Rodolfo Myronn de Melo Rodrigues 2, Marcos Tobias-Machado 4
1 Divisão de Urologia, Hospital São Marcos, Teresina, PI, Brasil; 2 Universidade Federal do Piaui, Teresina, PI, Brasil; 3 Centro Universitário Uninovafapi, Teresina, PI, Brasil; 4 Departamento de Urologia, Faculdade de Medicina do ABC, Santo André, SP, Brasil

ABSTRACT

Introduction: Video endoscopic inguinal lymphadenectomy – VEIL – has emerged as an alternative to reduce post-surgical complications (PSC) in patients with penile cancer submitted to inguinal lymphadenectomy (IL). In some series, these PSC are observed in more than 50% of patients. The objectives of the present study are to describe the initial experience of VEIL in a Hospital in Teresina, PI, Brazil, and to analyze PSC incidence.

Material and Methods: Retrospective descriptive study of patients submitted to VEIL from March 2014 to November 2015. Data were collected regarding surgical time, bleeding, complications, lymph node number, conversion, global complications, drainage time, cellulitis, lymphocele, cutaneous necrosis, miocutaneous necrosis and hospitalization time.

Results: 20 lower limbs of 11 patients were operated. Mean age was 51.4 (24-72) years. Mean surgical time was 85 (60-120) minutes. No patient showed intrasurgical complications, bleeding > 50 mL or conversion. Three surgeries evolved with lower limb edema, 2 with lymphoceles and one patient had cutaneous necrosis and another bulging of surgical wound. Mean time of hospitalization was 4 (2-11) days. A mean of 5.8 (1-12) lymph nodes were dissected in each surgery.

Conclusion: VEIL is a safe and easy technique with lower incidence of PSC that can be reproduced in small centers.

Keywords: Penile Neoplasms; Lymph Node Excision; Minimally Invasive Surgical Procedures

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