Publication Date
1-1-2022
Journal
Frontiers in Surgery
DOI
10.3389/fsurg.2022.813711
PMID
35402502
PMCID
PMC8987365
PubMedCentral® Posted Date
3-24-2022
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
vulvar cancer, laparoscopy, inguinal lymphadenectomy, single-port, surgery
Abstract
OBJECTIVE: To investigate the feasibility and short-term efficacy of gasless single-port laparoscopic inguinal lymphadenectomy through vulva incision (VEIL-V).
METHODS: The data of 9 patients diagnosed as vulvar squamous cell carcinoma who underwent single-port laparoscopic inguinal lymph node dissection through vulvectomy incision were retrospectively analyzed. And 13 patients who underwent laparoscopic inguinal lymph node dissection through lower abdominal subcutaneous approach as the control group (VEIL-H). The operation time, blood loss, numbers of unilateral lymph nodes, hospitalization time, and complications between the two groups were compared.
RESULTS: The operation time of VEIL-V was 56.11 ± 5.94 min, which were shorter than that of VEIL-H (74.62 ± 5.50 min;
CONCLUSION: Compared with VEIL-H, gasless single-port laparoscopic inguinal lymphadenectomy through vulva incision reduces the difficulty of operation with shorter operation time, and less blood loss, which can be a safe and mini-invasive surgical approach.