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

• Published in: International Brazilian Journal of Urology Vol. 45; no. 2; pp. 325 - 331
• Main Authors: Meneses, Aurus Dourado, Mattos, Pablo Aloisio Lima, Eulálio Filho, Walberto Monteiro Neiva, Fé, Taíla Sousa de Moura, Rodrigues, Rodolfo Myronn de Melo, Tobias-Machado, Marcos
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Urologia 01.03.2019
• Subjects: Adult; Aged; Brazil - epidemiology; Carcinoma, Squamous Cell - surgery; Humans; Incidence; Inguinal Canal - surgery; Lymph Node Excision; Lymph Node Excision - methods; Male; Middle Aged; Minimally Invasive Surgical Procedures; Operative Time; Original; Penile Neoplasms; Penile Neoplasms - surgery; Postoperative Complications - epidemiology; Retrospective Studies; Video-Assisted Surgery - methods; Young Adult; Brazil; Lymph Node Excision; Penile Neoplasms; Minimally Invasive Surgical Procedures
• ISSN: 1677-5538; 1677-6119; 1677-6119
• DOI: 10.1590/s1677-5538.ibju.2018.0521

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