This video reports the endoscopic technique used for the dissection of inguinal lymph nodes as complementary treatment for penile cancer.
Laparoscopic surgery has been used in iliac and retroperitoneal lymph nodes approaches, as well as for inguinal nodes dissection (video endoscopic) with fewer sequels and faster recuperation, according to conventional surgery indications.
This technique is indicated in patients presenting with penile cancer, in the following situations:
- after local treatment;
- when there is a lymph node mass less than 4cm;
- when mobile palpable lymph nodes appear in the postoperative follow-up;
- when there are risk factors for the development of inguinal metastasis (clinical stage > T1 or information regarding the initial biopsy such as histological grade > 1, lymphatic or vascular invasion).
This operation is performed bilaterally once.
This technique duplicates the conventional technique principles, promoting a radical resection of inguinal lymph nodes, regarding the reduction of surgical morbidity.
The video demonstrates that this procedure is feasible and safe with encouraging results.
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