Minimally invasive groin dissection.
Identifieur interne : 002086 ( PubMed/Curation ); précédent : 002085; suivant : 002087Minimally invasive groin dissection.
Auteurs : Christopher R. Spock ; Debra A. Smith ; Deepak NarayanSource :
- Connecticut medicine [ 0010-6178 ] ; 2012.
Descripteurs français
- KwdFr :
- Aine (), Biopsie de noeud lymphatique sentinelle, Femelle, Humains, Interventions chirurgicales mini-invasives, Lymphadénectomie, Mâle, Mélanome (), Mélanome (anatomopathologie), Métastase lymphatique, Projets pilotes, Résultat thérapeutique, Tumeurs cutanées (), Tumeurs cutanées (anatomopathologie).
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
Melanoma of the lower extremity with a positive sentinel lymph node biopsy (SLNB) mandates a groin dissection. This procedure has been associated with numerous complications; therefore we devised a modified approach.
PubMed: 22685982
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Christopher R. Spock<affiliation><nlm:affiliation>University of Miami, Miller School of Medicine, Miami, Florida USA.</nlm:affiliation>
<wicri:noCountry code="subField">Florida USA</wicri:noCountry>
</affiliation>
Le document en format XML
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<author><name sortKey="Spock, Christopher R" sort="Spock, Christopher R" uniqKey="Spock C" first="Christopher R" last="Spock">Christopher R. Spock</name>
<affiliation><nlm:affiliation>University of Miami, Miller School of Medicine, Miami, Florida USA.</nlm:affiliation>
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<author><name sortKey="Smith, Debra A" sort="Smith, Debra A" uniqKey="Smith D" first="Debra A" last="Smith">Debra A. Smith</name>
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<author><name sortKey="Narayan, Deepak" sort="Narayan, Deepak" uniqKey="Narayan D" first="Deepak" last="Narayan">Deepak Narayan</name>
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<author><name sortKey="Spock, Christopher R" sort="Spock, Christopher R" uniqKey="Spock C" first="Christopher R" last="Spock">Christopher R. Spock</name>
<affiliation><nlm:affiliation>University of Miami, Miller School of Medicine, Miami, Florida USA.</nlm:affiliation>
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<author><name sortKey="Smith, Debra A" sort="Smith, Debra A" uniqKey="Smith D" first="Debra A" last="Smith">Debra A. Smith</name>
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<author><name sortKey="Narayan, Deepak" sort="Narayan, Deepak" uniqKey="Narayan D" first="Deepak" last="Narayan">Deepak Narayan</name>
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<series><title level="j">Connecticut medicine</title>
<idno type="ISSN">0010-6178</idno>
<imprint><date when="2012" type="published">2012</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female</term>
<term>Groin (surgery)</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Lymphatic Metastasis</term>
<term>Male</term>
<term>Melanoma (pathology)</term>
<term>Melanoma (surgery)</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Pilot Projects</term>
<term>Sentinel Lymph Node Biopsy</term>
<term>Skin Neoplasms (pathology)</term>
<term>Skin Neoplasms (surgery)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Aine ()</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Lymphadénectomie</term>
<term>Mâle</term>
<term>Mélanome ()</term>
<term>Mélanome (anatomopathologie)</term>
<term>Métastase lymphatique</term>
<term>Projets pilotes</term>
<term>Résultat thérapeutique</term>
<term>Tumeurs cutanées ()</term>
<term>Tumeurs cutanées (anatomopathologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mélanome</term>
<term>Tumeurs cutanées</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Melanoma</term>
<term>Skin Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Groin</term>
<term>Melanoma</term>
<term>Skin Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Lymphatic Metastasis</term>
<term>Male</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Pilot Projects</term>
<term>Sentinel Lymph Node Biopsy</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Aine</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Lymphadénectomie</term>
<term>Mâle</term>
<term>Mélanome</term>
<term>Métastase lymphatique</term>
<term>Projets pilotes</term>
<term>Résultat thérapeutique</term>
<term>Tumeurs cutanées</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Melanoma of the lower extremity with a positive sentinel lymph node biopsy (SLNB) mandates a groin dissection. This procedure has been associated with numerous complications; therefore we devised a modified approach.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22685982</PMID>
<DateCreated><Year>2012</Year>
<Month>06</Month>
<Day>12</Day>
</DateCreated>
<DateCompleted><Year>2012</Year>
<Month>08</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>11</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0010-6178</ISSN>
<JournalIssue CitedMedium="Print"><Volume>76</Volume>
<Issue>5</Issue>
<PubDate><Year>2012</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Connecticut medicine</Title>
<ISOAbbreviation>Conn Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Minimally invasive groin dissection.</ArticleTitle>
<Pagination><MedlinePgn>273-7</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Melanoma of the lower extremity with a positive sentinel lymph node biopsy (SLNB) mandates a groin dissection. This procedure has been associated with numerous complications; therefore we devised a modified approach.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">All patients presenting with lower extremity melanomas that met criteria for SLNB had this procedure performed through an incision in the inguino-femoral region. In the event of a positive SLND, this same incision was used for the minimally invasive groin dissection (MIGD). A lighted retractor was used to improve visualization and a Ligasure (Valley-lab) was used to prevent seroma formation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty patients met criteria for this investigation and five underwent MIGD. All patients tolerated the procedure well. There was no incidence of flap necrosis nor wound dehiscence. There was one case of seroma and cellulitis, one seroma, and one patient with lymphedema. All patients preferred the MIGD incision over traditional incisions.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This new algorithm utilizing MIGD is well tolerated in patients. Complications appear to be minimal and patient satisfaction superior to traditional groin dissection.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Spock</LastName>
<ForeName>Christopher R</ForeName>
<Initials>CR</Initials>
<AffiliationInfo><Affiliation>University of Miami, Miller School of Medicine, Miami, Florida USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Smith</LastName>
<ForeName>Debra A</ForeName>
<Initials>DA</Initials>
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<Author ValidYN="Y"><LastName>Narayan</LastName>
<ForeName>Deepak</ForeName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Conn Med</MedlineTA>
<NlmUniqueID>0372745</NlmUniqueID>
<ISSNLinking>0010-6178</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008197" MajorTopicYN="Y">Lymph Node Excision</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008545" MajorTopicYN="N">Melanoma</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019060" MajorTopicYN="Y">Minimally Invasive Surgical Procedures</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012878" MajorTopicYN="N">Skin Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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