Videoendoscopic Inguinal Lymph Node Dissection: Our First Experience

Rinto Hariwibowo* -  Department of Urology Faculty of Medicine, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia
Agus Rizal Hamid -  Department of Urology Faculty of Medicine, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia
Chaidir Arif Mochtar -  Department of Urology Faculty of Medicine, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia
Rainy Umbas -  Department of Urology Faculty of Medicine, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia

DOI : 10.33371/ijoc.v13i1.626

Background: Inguinal lymph nodes dissection has been the mainstay treatment for penile squamous cell carcinoma with resectable inguinal lymph nodes metastasis. Traditionally, inguinal lymph node dissections were performed with a classical open approach with high complications and morbidity rate. We are reporting our first experience with videoendoscopic inguinal lymph nodes dissection as an alternative to the classic open approach in our center.


Case Presentation: This article reports a case of squamous cell carcinoma of the penis. A case report of post partial penectomy with pT3N2M0 squamous cell carcinoma of the penis and palpable bilateral inguinal lymph nodes in a 52-year-old male. In this patient, we perform our first experience with videoendoscopic inguinal lymph nodes dissection as an alternative to the traditional classic open approach inguinal lymph node dissections.

Conclusions: Videoendoscopic approach for inguinal lymph nodes dissection in penile cancer is feasible and has been demonstrated to have a better outcome on complications & morbidity compared to the traditional open approach. In the end, we propose that the videoendoscopic approach, if available, could be the main choice for inguinal lymph nodes dissections for the future.

Keywords
inguinal lymph node dissection, partial penectomy, penile cancer, videoendoscopic
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Article Info
Submitted: 2019-02-11
Published: 2019-04-15
Section: Case Reports
Article Statistics: 76 91