Initial experience of video endoscopic inguinal Lymphadenectomy in a center located at northeast brazilian region

ABSTRACT Introduction: Video endoscopic inguinal lymphadenectomy – VEIL – has emerged as an alternative to reduce post-surgical complications (PSC) in patients with penile cancer submitted to inguinal lymphadenectomy (IL). In some series, these PSC are observed in more than 50% of patients. The objectives of the present study are to describe the initial experience of VEIL in a Hospital in Teresina, PI, Brazil, and to analyze PSC incidence. Material and Methods: Retrospective descriptive study of patients submitted to VEIL from March 2014 to November 2015. Data were collected regarding surgical time, bleeding, complications, lymph node number, conversion, global complications, drainage time, cellulitis, lymphocele, cutaneous necrosis, miocutaneous necrosis and hospitalization time. Results: 20 lower limbs of 11 patients were operated. Mean age was 51.4 (24-72) years. Mean surgical time was 85 (60-120) minutes. No patient showed intrasurgical complications, bleeding > 50 mL or conversion. Three surgeries evolved with lower limb edema, 2 with lymphoceles and one patient had cutaneous necrosis and another bulging of surgical wound. Mean time of hospitalization was 4 (2-11) days. A mean of 5.8 (1-12) lymph nodes were dissected in each surgery. Conclusion: VEIL is a safe and easy technique with lower incidence of PSC that can be reproduced in small centers.

【摘要】
引言：视频内镜腹股沟淋巴结清扫术（Video endoscopic inguinal lymphadenectomy，VEIL）已成为阴茎癌患者行腹股沟淋巴结清扫术（inguinal lymphadenectomy，IL）时降低术后并发症（post-surgical complications，PSC）的可选治疗方案。部分研究队列中，此类术后并发症的发生率超过50%。本研究旨在描述巴西皮奥伊州特雷西纳市某医院开展VEIL的初步临床经验，并分析其术后并发症发生率。
材料与方法：本研究为回顾性描述性研究，纳入2014年3月至2015年11月期间接受VEIL治疗的患者。收集的研究数据包括手术时长、失血量、并发症情况、淋巴结清扫数目、手术中转率、总体并发症发生率、引流时长、蜂窝织炎、淋巴囊肿、皮肤坏死、肌皮坏死以及住院时长。
结果：共为11例患者的20侧下肢实施了手术。患者平均年龄为51.4岁（范围24~72岁），平均手术时长为85分钟（范围60~120分钟）。无患者出现术中并发症、失血量超过50mL或需中转手术。3例患者术后出现下肢水肿，2例出现淋巴囊肿，1例发生皮肤坏死，另有1例出现手术切口膨出。平均住院时长为4天（范围2~11天），每例手术平均清扫淋巴结5.8枚（范围1~12枚）。
结论：VEIL是一种安全简便的手术技术，术后并发症发生率较低，可在中小型医疗中心推广应用。