Mp61-04 ‘Fascia Lata First’ Approach to Robot-Assisted Inguinal Lymphadenectomy: Initial Experience and Outcomes

You have accessJournal of UrologyPenile & Testicular Cancer II (MP61)1 May 2024MP61-04 'FASCIA LATA FIRST' APPROACH TO ROBOT-ASSISTED INGUINAL LYMPHADENECTOMY: INITIAL EXPERIENCE AND OUTCOMES Shritosh Kumar, Rishi Nayyar, and Brusabhanu Nayak Shritosh KumarShritosh Kumar , Rishi NayyarRishi Nayyar , and Brusabhanu NayakBrusabhanu Nayak View All Author Informationhttps://doi.org/10.1097/01.JU.0001009536.58867.87.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In the management of penile cancers, both laparoscopic and robotic inguinal node dissection techniques have been employed. The conventional approach involves creating a space deep to Camper's fascia for superficial node dissection. In this study, we present a modified and simplified technique, the 'fascia lata first' approach, for bilateral robot-assisted inguinal lymphadenectomy. This technique involves developing the space above the fascia lata and approaching the superficial inguinal lymph nodes in a bottom-to-top manner. METHODS: We conducted this study on six consecutive patients who underwent the modified 'fascia lata first' approach for robot-assisted inguinal lymphadenectomy. All patients had squamous cell carcinoma of the penis, with two presenting with T2 disease and the remaining four with T3 disease. RESULTS: The mean age of the patients was 48 years, and the average operating time was 185 minutes (excluding 35 minutes for combined docking time on both sides). The procedure resulted in a minimal blood loss of 75 mL, and an average of 12 lymph nodes were evaluated through histopathology. Postoperatively, patients were discharged on a mean of 6 days, and drain removal occurred after 10 days. Notably, none of the cases reported skin flap necrosis, and only one patient exhibited a superficial wound site infection, which was managed conservatively. CONCLUSIONS: The 'fascia lata first' approach for robot-assisted inguinal lymphadenectomy is associated with a simpler technique and a smoother learning curve, while demonstrating equivalent oncological outcomes compared to standard methods. This approach may prove to be advantageous for surgeons seeking to optimize the surgical management of penile cancers with technical ease. Further research with larger cohorts is warranted to validate these promising preliminary findings. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1011 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Shritosh Kumar More articles by this author Rishi Nayyar More articles by this author Brusabhanu Nayak More articles by this author Expand All Advertisement PDF downloadLoading ...