Preliminary exploration of three-holesame-site approach simultaneouslaparoscopic inguinal and pelvic lymphnodes dissection
Liu Shuhan
Tan Yiao
Huang Tao
Wang Jing
Tao Tao
YangLei
Abstract：Objective:To investigate the feasibility,advantages,and preliminary experience of simultaneous laparoscopic inguinal and pelvic lymph node dissection using a three-port ipsilateral approach in the treatment of penile cancer with regional lymph node metastasis.Methods:Five patients in our hospitalfrom January 2020 to January 2023were collected who underwent three-hole same-site approach simultaneous laparoscopicinguinal and pelvic lymph nodes dissection.The major surgical procedures include:establishment of three holesat the lower abdomen,bilateral laparoscopic inguinal lymph node dissection along the Scarpa fascia,and bilateral or unilateral transperitoneal laparo-scopic pelvic lymph node dissection.Operative and perioperative parameters were recorded and compared with those inthe open operation group.Results:The operative time was(215.40±51.64)min,the median of the intraoperative blood loss was 50 ml,the number of unilateral removed inguinal lymph nodes was(11.10±2.42),and the number of unilateral removed pelvic lymph nodes was(8.13±1.13).This operation had less intraoperative blood loss,less pain index,shorter inguinal drainage tube retention time and postoperative hospital stay compared with open operation.Conclusion:Simultaneous laparoscopic inguinal and pelvic lymph node dissection using a three-port ipsilateral ap-proach is a feasible and effective method for treating penile cancer with regional lymph node metastasis.This approach ensures significant therapeutic efficacy while avoiding multiple surgeries,thereby reducing trauma and discomfort for the patient.
Keywords：inguinal lymph node dissectionpelvic lymph node dissectionlaparoscopypenile cancer
Publication Date：2024-06-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 193-197 )