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Robotic-Assisted Video Endoscopic Inguinal Lymphadenectomy in Carcinoma Vulva: Our Experiences and Intermediate Results.

Identifieur interne : 000503 ( PubMed/Corpus ); précédent : 000502; suivant : 000504

Robotic-Assisted Video Endoscopic Inguinal Lymphadenectomy in Carcinoma Vulva: Our Experiences and Intermediate Results.

Auteurs : Vandana Jain ; Rupinder Sekhon ; Shveta Giri ; Nahida Hassan ; Kanika Batra ; Swati H. Shah ; Sudhir Rawal

Source :

RBID : pubmed:27870714

Abstract

To 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.

DOI: 10.1097/IGC.0000000000000854
PubMed: 27870714

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pubmed:27870714

Le document en format XML

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<title xml:lang="en">Robotic-Assisted Video Endoscopic Inguinal Lymphadenectomy in Carcinoma Vulva: Our Experiences and Intermediate Results.</title>
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<name sortKey="Jain, Vandana" sort="Jain, Vandana" uniqKey="Jain V" first="Vandana" last="Jain">Vandana Jain</name>
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<nlm:affiliation>Department of Uro-Gynae Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India.</nlm:affiliation>
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<name sortKey="Sekhon, Rupinder" sort="Sekhon, Rupinder" uniqKey="Sekhon R" first="Rupinder" last="Sekhon">Rupinder Sekhon</name>
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<name sortKey="Giri, Shveta" sort="Giri, Shveta" uniqKey="Giri S" first="Shveta" last="Giri">Shveta Giri</name>
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<name sortKey="Hassan, Nahida" sort="Hassan, Nahida" uniqKey="Hassan N" first="Nahida" last="Hassan">Nahida Hassan</name>
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<name sortKey="Batra, Kanika" sort="Batra, Kanika" uniqKey="Batra K" first="Kanika" last="Batra">Kanika Batra</name>
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<name sortKey="Shah, Swati H" sort="Shah, Swati H" uniqKey="Shah S" first="Swati H" last="Shah">Swati H. Shah</name>
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<name sortKey="Rawal, Sudhir" sort="Rawal, Sudhir" uniqKey="Rawal S" first="Sudhir" last="Rawal">Sudhir Rawal</name>
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<name sortKey="Batra, Kanika" sort="Batra, Kanika" uniqKey="Batra K" first="Kanika" last="Batra">Kanika Batra</name>
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<name sortKey="Shah, Swati H" sort="Shah, Swati H" uniqKey="Shah S" first="Swati H" last="Shah">Swati H. Shah</name>
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<name sortKey="Rawal, Sudhir" sort="Rawal, Sudhir" uniqKey="Rawal S" first="Sudhir" last="Rawal">Sudhir Rawal</name>
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<title level="j">International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</title>
<idno type="eISSN">1525-1438</idno>
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<div type="abstract" xml:lang="en">To 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.</div>
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<Title>International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</Title>
<ISOAbbreviation>Int. J. Gynecol. Cancer</ISOAbbreviation>
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<ArticleTitle>Robotic-Assisted Video Endoscopic Inguinal Lymphadenectomy in Carcinoma Vulva: Our Experiences and Intermediate Results.</ArticleTitle>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To 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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Twelve 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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The 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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The 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.</AbstractText>
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