The video endoscopy inguinal lymphadenectomy for vulvar cancer: A pilot study

Fabio Pacelli, Giovanni Scambia, Angelica Naldini, Cristiano Rossitto, Giuseppe Vizzielli, Giuseppe Campagna, Maria Cristina Moruzzi

Risultato della ricerca: Contributo in rivistaArticolo in rivista

3 Citazioni (Scopus)

Abstract

Objective This prospective pilot study aims to validate feasibility, efficacy and safeness of the innovative technique of video endoscopy inguinal lymphadenectomy (VEIL) and compare it to open inguinal lymphadenectomy (OIL) in the staging and treatment of vulvar cancer (VC). Material and methods All patients affected by VC suitable for bilateral inguinal-femoral lymphadenectomy were prospectively enrolled and submitted to VEIL on one side and OIL contralaterally, sparing the saphenous vein. The surgical and post-surgical data were collected. Univariate analysis included chi square analysis or Fisher's exact test, when appropriate for categorical variables, and the Student t test and Mann–Whitney test when appropriate for continuous variables. Results Between October 2014 and June 2015 fifteen patients were valuable for the study. Although nodal retrieval was comparable for both procedures, operative time was higher after VEIL. No intraoperative complications were observed in both techniques. Postoperative complications were observed in 3 and 2 cases for OIL and VEIL respectively. One patient needed reoperation after OIL for wound necrosis and infection. According to Campisi's stage, lymphedema resulted significantly to be lower after VEIL (p = 0.024). Conclusions Waiting for larger series and longer follow-up data, the VEIL seems to be feasible allowing a radical removal of inguinal lymph nodes as well as OIL with lower morbidity.
Lingua originaleEnglish
pagine (da-a)281-285
Numero di pagine5
RivistaTaiwanese Journal of Obstetrics and Gynecology
Volume56
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Obstetrics and Gynecology
  • VEIL
  • Video endoscopy inguinal lymphadenectomy
  • Vulvar cancer

Fingerprint Entra nei temi di ricerca di 'The video endoscopy inguinal lymphadenectomy for vulvar cancer: A pilot study'. Insieme formano una fingerprint unica.

Cita questo