Mp61-11 Complications and Adverse Events in Lymphadenectomy of the Inguinal Area (Cali)—a Worldwide Expert Consensus

You have accessJournal of UrologyPenile & Testicular Cancer II (MP61)1 May 2024MP61-11 COMPLICATIONS AND ADVERSE EVENTS IN LYMPHADENECTOMY OF THE INGUINAL AREA (CALI)—A WORLDWIDE EXPERT CONSENSUS Luis G. Medina, Aref S. Sayegh, Valeria Celis, Veronica I. Rodriguez, Lorenzo Ramacciotti, Laura C. Perez, Anibal La Rivas, Michael B. Eppler, Jose Gaona, Marcos Tobias-Machado, Philippe E. Spiess, Curtis A. Pettaway, Antonio C. Lima, Pablo A. Lima, Timothy G. Wilson, Gustavo M. Villoldo, Eric Chung, Also Samaniego, Antonio A. Ornellas, Vladimir Pinheiro, Eder S. Brazao, David Subira-Rios, Leandro Koifman, Stenio de Cassio, Humberto M. Pontillo, Jose de Ribamar Rodriguez Calixto, Rafael Campos, Mark Smithers, Simone Garzon, Oliver Haase, Antonio Sommariva, Robert Fruscio, Francisco Martins, Pedro S. de Olveira, Giovanni B. Levi, Marco Clementi, Juan Astigueta, Islam H. Metwally, Rasiah Bharathan, Tarun Jindal, Yasuhiro Nakamura, Hisham A. Mageed, Sakthiushadevi Jeevarajan, Ramon Rodriguez, Herney A. Garcia-Perdomo, Omaira Rodriguez, Saum Ghodoussipour, Inderbir Gill, Giovanni Cacciamani, and Rene Sotelo Luis G. MedinaLuis G. Medina , Aref S. SayeghAref S. Sayegh , Valeria CelisValeria Celis , Veronica I. RodriguezVeronica I. Rodriguez , Lorenzo RamacciottiLorenzo Ramacciotti , Laura C. PerezLaura C. Perez , Anibal La RivasAnibal La Rivas , Michael B. EpplerMichael B. Eppler , Jose GaonaJose Gaona , Marcos Tobias-MachadoMarcos Tobias-Machado , Philippe E. SpiessPhilippe E. Spiess , Curtis A. PettawayCurtis A. Pettaway , Antonio C. LimaAntonio C. Lima , Pablo A. LimaPablo A. Lima , Timothy G. WilsonTimothy G. Wilson , Gustavo M. VilloldoGustavo M. Villoldo , Eric ChungEric Chung , Also SamaniegoAlso Samaniego , Antonio A. OrnellasAntonio A. Ornellas , Vladimir PinheiroVladimir Pinheiro , Eder S. BrazaoEder S. Brazao , David Subira-RiosDavid Subira-Rios , Leandro KoifmanLeandro Koifman , Stenio de CassioStenio de Cassio , Humberto M. PontilloHumberto M. Pontillo , Jose de Ribamar Rodriguez CalixtoJose de Ribamar Rodriguez Calixto , Rafael CamposRafael Campos , Mark SmithersMark Smithers , Simone GarzonSimone Garzon , Oliver HaaseOliver Haase , Antonio SommarivaAntonio Sommariva , Robert FruscioRobert Fruscio , Francisco MartinsFrancisco Martins , Pedro S. de OlveiraPedro S. de Olveira , Giovanni B. LeviGiovanni B. Levi , Marco ClementiMarco Clementi , Juan AstiguetaJuan Astigueta , Islam H. MetwallyIslam H. Metwally , Rasiah BharathanRasiah Bharathan , Tarun JindalTarun Jindal , Yasuhiro NakamuraYasuhiro Nakamura , Hisham A. MageedHisham A. Mageed , Sakthiushadevi JeevarajanSakthiushadevi Jeevarajan , Ramon RodriguezRamon Rodriguez , Herney A. Garcia-PerdomoHerney A. Garcia-Perdomo , Omaira RodriguezOmaira Rodriguez , Saum GhodoussipourSaum Ghodoussipour , Inderbir GillInderbir Gill , Giovanni CacciamaniGiovanni Cacciamani , and Rene SoteloRene Sotelo View All Author Informationhttps://doi.org/10.1097/01.JU.0001009536.58867.87.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Inguinal Lymph Node Dissection (ILND) plays an important role in the diagnostics and treatment of melanoma, penile, and vulvar cancer. ILND is associated with various intraoperative and postoperative complications with significant heterogeneity in how they are classified and reported. This lack of standardization challenges efforts to study and report ILND outcomes. The aim of this study is to devise a system to standardize the classification and reporting of ILND perioperative complications by creating a worldwide collaborative, the Complications and Adverse events in Lymphadenectomy of the Inguinal area (CALI) (Figure 1). METHODS: A modified 3-round Delphi consensus approach surveyed a worldwide group of experts in ILND for melanoma, penile, and vulvar cancer. The group of experts included general surgeons, gynecologic oncologists, surgical oncologists, and urologists. The survey assessed expert agreement on ILND perioperative complications. Panel inter-rater agreement and consistency were assessed as the overall percentage agreement and Cronbach's alpha. RESULTS: Forty-seven experienced surgeons were enrolled from 19 countries (Figure 2), including 26 (55.3%) urologists, 11 (23.4%) surgical oncologists, 6 (12.8%) general surgeons, and 4 (8.5%) gynecologic oncologists, respectively (Figure 3). Based on their expertise, 31 (66%), 10 (21.3%), and 22 (46.8%), of the participants treat penile cancer, vulvar cancer, and melanoma using ILND, respectively. Almost all (42/47) agreed with the definitions and inclusion as part of the ILND intraoperative complication group, while 93.6% (44/47) agreed that postoperative complications should be sub-classified into five macro-categories. Unanimous agreement (100%, 37/37) was achieved with the final standardized classification system for reporting ILND complications in melanoma, vulvar cancer, and penile cancer (Figure 4 and 5). CONCLUSIONS: The CALI classification system has been developed as a tool to standardize the assessment and reporting of complications during ILND for the treatment of melanoma, vulvar, and penile cancer. Download PPTDownload PPTDownload PPTDownload PPTDownload PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1015 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Luis G. Medina More articles by this author Aref S. Sayegh More articles by this author Valeria Celis More articles by this author Veronica I. Rodriguez More articles by this author Lorenzo Ramacciotti More articles by this author Laura C. Perez More articles by this author Anibal La Rivas More articles by this author Michael B. Eppler More articles by this author Jose Gaona More articles by this author Marcos Tobias-Machado More articles by this author Philippe E. Spiess More articles by this author Curtis A. Pettaway More articles by this author Antonio C. Lima More articles by this author Pablo A. Lima More articles by this author Timothy G. Wilson More articles by this author Gustavo M. Villoldo More articles by this author Eric Chung More articles by this author Also Samaniego More articles by this author Antonio A. Ornellas More articles by this author Vladimir Pinheiro More articles by this author Eder S. Brazao More articles by this author David Subira-Rios More articles by this author Leandro Koifman More articles by this author Stenio de Cassio More articles by this author Humberto M. Pontillo More articles by this author Jose de Ribamar Rodriguez Calixto More articles by this author Rafael Campos More articles by this author Mark Smithers More articles by this author Simone Garzon More articles by this author Oliver Haase More articles by this author Antonio Sommariva More articles by this author Robert Fruscio More articles by this author Francisco Martins More articles by this author Pedro S. de Olveira More articles by this author Giovanni B. Levi More articles by this author Marco Clementi More articles by this author Juan Astigueta More articles by this author Islam H. Metwally More articles by this author Rasiah Bharathan More articles by this author Tarun Jindal More articles by this author Yasuhiro Nakamura More articles by this author Hisham A. Mageed More articles by this author Sakthiushadevi Jeevarajan More articles by this author Ramon Rodriguez More articles by this author Herney A. Garcia-Perdomo More articles by this author Omaira Rodriguez More articles by this author Saum Ghodoussipour More articles by this author Inderbir Gill More articles by this author Giovanni Cacciamani More articles by this author Rene Sotelo More articles by this author Expand All Advertisement PDF downloadLoading ...