Laparoscopically assisted ilio-inguinal lymph node dissection versus inguinal lymph node dissection in melanoma

Abstract

Aim: Morbidity of open inguinal lymphadenectomy (OIL) is high. We use laparoscopy for pelvic time, preservation of the greater saphenous vein and transverse inguinal incisions (laparoscopically assisted ilio-inguinal lymphadenectomy, LIIL) to improve postoperative outcomes. Patients & methods: Retrospective comparison of 14 patients who underwent LIIL and seven patients who underwent OIL. Results: Fourteen LIIL compared with seven OIL showed a statistically significant reduction in morbidity (15.3 vs 75%) and hospital stay (7 vs 15.7 days). Pelvic lymph node involvement (27%) was not detected preoperatively. With a mean follow-up of 36.2 (range: 3–137) months, local recurrence rate was 58.3% in LIIL and 40% in OIL. Overall survival was significantly higher in OIL than in LIIL. Conclusion: Compared with OIL, LIIL reduced postoperative complications and hospital stay.

Keywords

• comparative effectiveness
• hospital stay
• lymph node
• minimally invasive therapy
• oncology
• postoperative complications