Boldo E, Mayol A, Lozoya R, Coret A, Escribano D, Fortea C, Muñoz A, Pastor JC, De Lucia GP. Laparoscopically assisted ilio-inguinal lymph node dissection versus inguinal lymph node dissection in melanoma.
Melanoma Manag 2020;
7:MMT42. [PMID:
32821374 PMCID:
PMC7426774 DOI:
10.2217/mmt-2019-0023]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim
Morbidity of open inguinal lymphadenectomy (OIL) is high. We use laparoscopy for pelvic time, preservation of the greater saphenous vein and transverse inguinal incisions (laparoscopically assisted ilio-inguinal lymphadenectomy, LIIL) to improve postoperative outcomes.
Patients & methods
Retrospective comparison of 14 patients who underwent LIIL and seven patients who underwent OIL.
Results
Fourteen LIIL compared with seven OIL showed a statistically significant reduction in morbidity (15.3 vs 75%) and hospital stay (7 vs 15.7 days). Pelvic lymph node involvement (27%) was not detected preoperatively. With a mean follow-up of 36.2 (range: 3-137) months, local recurrence rate was 58.3% in LIIL and 40% in OIL. Overall survival was significantly higher in OIL than in LIIL.
Conclusion
Compared with OIL, LIIL reduced postoperative complications and hospital stay.
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