Mp61-07 Single-Port Robotic Assisted Inguinal Lymph Node Dissection (Ilnd): A Single Institution Experience

You have accessJournal of UrologyPenile & Testicular Cancer II (MP61)1 May 2024MP61-07 SINGLE-PORT ROBOTIC ASSISTED INGUINAL LYMPH NODE DISSECTION (ILND): A SINGLE INSTITUTION EXPERIENCE Jesse Persily, Sameer Thakker, Shavy Nagpal, Anthony Corcoran, Katie Murray, James Wysock, Lee Zhao, and William Huang Jesse PersilyJesse Persily , Sameer ThakkerSameer Thakker , Shavy NagpalShavy Nagpal , Anthony CorcoranAnthony Corcoran , Katie MurrayKatie Murray , James WysockJames Wysock , Lee ZhaoLee Zhao , and William HuangWilliam Huang View All Author Informationhttps://doi.org/10.1097/01.JU.0001009536.58867.87.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Open ILND for penile cancer has been plagued by a high complication rate. Minimally invasive ILND has evolved from pure laparoscopic to multi-port (MP) robotic, to single port (SP) robotic, with the goal of decreasing morbidity without impacting oncologic outcomes. SP ILND has only been reported in case series. We present our single institution experience of both MP and SP robotic ILND. METHODS: We reviewed our retrospective, IRB approved database of robotic ILND performed at our institution since 2015, for a total of 30 groin dissections. In most cases, ICG is injected at the base of the penis, and the near-infrared setting is used to ensure complete removal of nodal tissue (Figure 1A). Representative groins after MP ILND (Figure 1B) and SP (Figure 1C) are shown. We assessed demographic and pre-operative characteristics of the individual patients and analyzed operative outcomes of each groin separately, comparing MP to SP. RESULTS: 20 patients have undergone robotic ILND at our institution, for a total of 30 groin dissections (Table 1). Median follow up from first ILND was 12 months (IQR 3-40.5 months). 7 of these ILNDs were performed with the SP. MP vs. SP ILND was compared in Table 2. Median length of stay was 1 day. There was only one intraoperative complication, and operative time and EBL were similar between MP and SP. 5 patients required IR drainage of fluid collections. There were no major wound complications. Lymph node yield was slightly higher after SP, but similar between groups. CONCLUSIONS: SP ILND appears to be a safe and effective approach to ILND for penile cancer. Adoption of a minimally invasive approach has allowed us to perform a complete groin dissection while reducing morbidity. Further research is needed to determine whether the transition from MP to SP improves patient morbidity. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1012 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Jesse Persily More articles by this author Sameer Thakker More articles by this author Shavy Nagpal More articles by this author Anthony Corcoran More articles by this author Katie Murray More articles by this author James Wysock More articles by this author Lee Zhao More articles by this author William Huang More articles by this author Expand All Advertisement PDF downloadLoading ...