scholarly journals Robotic-Assisted Inguinal Lymphadenectomy (RAIL)

Author(s):  
Victor Enrique Corona-Montes ◽  
Eduardo Gonzalez-Cuenca ◽  
Marcos Tobias-Machado

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Alexander M. Helfand ◽  
Jeffrey S. Montgomery ◽  
Alon Z. Weizer ◽  
Todd M. Morgan


2018 ◽  
Vol 13 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Ioannis D. Gkegkes ◽  
Evelyn Eleni Minis ◽  
Christos Iavazzo


Urology ◽  
2009 ◽  
Vol 73 (6) ◽  
pp. 1424-1425 ◽  
Author(s):  
Marcos Tobias-Machado ◽  
Ary Serpa Neto


2021 ◽  
Vol 34 (13) ◽  
Author(s):  
Luisa Jerónimo Alves ◽  
Bruno Graça ◽  
Kris Maes

A 71-year-old male presented with Merkel cell carcinoma along with inguinal lymph node involvement (stage III). The patient was proposed for systemic treatment followed by inguinal lymphadenectomy and adjuvant radiotherapy. During the follow-up period, recurrences were documented (lymphatic and visceral) and were treated with salvage surgery and radiotherapy. On the fifth year of follow-up the patient was diagnosed with a metastasis in the right seminal vesicle and underwent stereotactic body radiation therapy. Two-years later, tumor recurrence in the right seminal vesicle was managed with salvage robotic assisted seminal vesiculectomy. Advanced stages of Merkel cell carcinoma have a poor outcome and salvage treatments should be tailored to each patient. A multidisciplinary approach was crucial in achieving successful outcomes. The patient is still recurrence free twenty-four months after surgery. To the best of our knowledge, this is the first publication reporting a seminal vesical Merkel cell metastasis.



2021 ◽  
Vol 33 ◽  
pp. S97
Author(s):  
A. Piana ◽  
J.M. Gaya Sopena ◽  
P. Diana ◽  
A. Gallioli ◽  
A. Rosales ◽  
...  




2016 ◽  
Vol 27 (1) ◽  
pp. 159-165 ◽  
Author(s):  
Vandana Jain ◽  
Rupinder Sekhon ◽  
Shveta Giri ◽  
Nahida Hassan ◽  
Kanika Batra ◽  
...  

ObjectivesTo describe the technique of robotic-assisted video endoscopic inguinal lymphadenectomy (R-VEIL) in patients with carcinoma vulva and discuss the advantages of the technique and oncological outcome.MethodsTwelve patients of squamous cell cancer of vulva underwent 22 R-VEIL procedures from February 2011 to February 2015. Their preoperative, intraoperative, and postoperative data were retrospectively analysed.ResultsThe mean age of patients was 61 years (range, 32–78 years). The mean operative time was 69.3 minutes (range, 45–95 minutes). The mean blood loss was 30 mL (range, 15–50 mL). No intraoperative complication was observed. The mean drain output was 119 mL (range, 50–250 mL), and the drains were removed at a mean of 13.9 days (range, 8–38 days). The average number of superficial and deep inguinofemoral lymph nodes retrieved was 11 (range, 4–26). Two patients had positive lymph nodes on histopathology (16.67%). Postoperative complications were lymphocele (6 groins), chronic lower limb lymphedema (6 cases), prolonged lymphorrhea (1 groin), and cellulitis (2 groins). Over a follow-up period ranging from 7 to 67 months, 1 patient developed recurrence in the inguinal nodes and died 7 months after the recurrence.ConclusionsThe R-VEIL allows the removal of inguinal lymph nodes within the same limits as the open procedure for inguinal lymph node dissection and has a potential to reduce the surgical morbidity associated with the open procedure. Long-term oncological results are not available though our initial results appear promising. Prospective multi-institutional studies are required to prove its efficacy over open inguinal lymph node dissection.



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