Laparoscopically assisted ilio-inguinal lymph node dissection versus inguinal lymph node dissection in melanoma

Enrique Boldo; Araceli Mayol; Rafael Lozoya; Alba Coret; Diana Escribano; Carlos Fortea; Andres Muñoz; Juan Carlos Pastor; Guillermo Perez De Lucia

doi:10.2217/mmt-2019-0023

Laparoscopically assisted ilio-inguinal lymph node dissection versus inguinal lymph node dissection in melanoma

Melanoma Manag. 2020 Jul 21;7(2):MMT42. doi: 10.2217/mmt-2019-0023.

Authors

Enrique Boldo¹, Araceli Mayol¹, Rafael Lozoya¹, Alba Coret¹, Diana Escribano¹, Carlos Fortea¹, Andres Muñoz¹, Juan Carlos Pastor¹, Guillermo Perez De Lucia¹

Affiliation

¹ Department of Surgery Consorcio Hospitalario Provincial de Castellon, Castellón, Spain.

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.

Keywords: comparative effectiveness; hospital stay; lymph node; minimally invasive therapy; oncology; postoperative complications; quality of life; skin (melanoma); surgery.

Publication types

Case Reports