V7-07: Robotic bilateral inguinal lymphadenectomy in penile cancer, without robot repositioning
VideoIntroductions and Objectives
To present the first bilateral inguinal lymphadenectomy robot assisted for penile cancer in Latin America .
We performed a robotic bilateral inguinal lymphadenectomy secondary to squamous cell carcinoma, poorly differentiated with infiltration to corpora cavernosa, spongy and proximal urethra in a patient of 64 years.
The entire procedure was performed with the robot-assisted method. The operative time was 360 minutes, estimated blood loss was 200 ml and hospital stay was 3 days. The pathology reported squamous carcinoma metastases in 1 of 19 lymph nodes on the right side and 2 of 14 lymph nodes on the left side. The patient presented a lymphocele that was drained at consult. Considering pathology results the patient underwent to a pelvic lymphadenectomy reporting no metastatc nodes.
Robotic bilateral inguinal lymphadenectomy secondary to penile cancer is feasible, safe and provides a good oncologic performance. Prospective studies are required to include a larger number of patients and long-term monitoring to assess the results of this procedure in comparison to open and laparoscopic techniques.