Video Endoscopic Inguinal Lymphadenectomy via 3-Incision Lateral Approach for Vulvar Cancers: Our Preliminary Outcome of 37 Cases
| Autor: | Hanzi Xu, Zhihua Sun, Junwei Qu, Qiang Wu, Zhen Gong, Yibing Zhao, Henghua Shao, Zhiqin Dai |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology Video-Assisted Surgery law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Humans Aged Retrospective Studies Vulvar neoplasm medicine.diagnostic_test Vulvar Neoplasms business.industry Obstetrics and Gynecology Retrospective cohort study Endoscopy Vulvar cancer Middle Aged medicine.disease Surgery Oncology 030220 oncology & carcinogenesis Carcinoma Squamous Cell Lymph Node Excision Lymphadenectomy Female Lymph business |
| Zdroj: | International journal of gynecological cancer : official journal of the International Gynecological Cancer Society. 26(9) |
| ISSN: | 1525-1438 |
| Popis: | ObjectiveThe purpose of this study was to build a video endoscopic inguinal lymphadenectomy (VEIL) via the 3-incision superolateral inguinal approach and explore the feasibility and significance of this method for vulvar cancer.MethodsThirty-seven patients with vulvar cancer who underwent VEIL via the 3-incision superolateral inguinal approach were enrolled and followed up. The number of excised lymph nodes, intraoperative complications, inguinal wound healing, and the prognosis were retrospectively analyzed.ResultsThe average number of excised lymph nodes per side is 8.8 ± 3.7 (4–18) among the 37 patients and after the new method was more mature, is 9.6 ± 3.6 among the 34 patients treated. Primary healing was found in 36 cases, whereas delayed healing occurred in 1 case complicated with diabetes. The lymph node–positive patients (6 cases) were supplemented with postoperative radiochemotherapy (RCT). All patients survived during the follow-up. Of the 2 recurrent patients, one patient who received surgery again and RCT survived without tumor. The other patient undergoing RCT survived with tumor.ConclusionsCompared with open lymphadenectomy, VEIL via the 3-incision lateral approach provides a feasible, but more cosmetic, and promising minimally invasive modality in clinic for treating patients with vulvar cancer. |
| Databáze: | OpenAIRE |
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