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Laparoendoscopic single-site inguinal lymphadenectomy in gynecology: preliminary experience at a single institution

  • Gynecologic Oncology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

Laparoendoscopic single-site surgery (LESS), a promising innovation in minimally invasive surgery, has been used in treating gynecologic oncology diseases. There have been no reports in the literature regarding LESS for inguinal lymphadenectomy (LESS-IL) in gynecologic conditions. We aimed to evaluate the feasibility, safety, and outcomes of LESS-IL.

Methods

Six patients with vulvar or vaginal cancer underwent LESS-IL from July 2018 to March 2019. Data regarding the intraoperative and postoperative outcomes were analyzed.

Results

All patients successfully underwent a bilateral LESS-IL without conversion. LESS pelvic lymphadenectomy via an umbilical incision was also performed in a patient with vaginal cancer. The median operation time for the single-port laparoendoscopic inguinal lymphadenectomies was 105 min (range 70–134), with a median estimated blood loss of 108 ml (range 40–170). Median time of hospitalization was 7.5 days (range 5–10). A median of 11 (6–15) lymph nodes were dissected in a unilateral groin. The suction drains were removed after a median duration of 5 days (range 3–7). There were no skin-related or lymph-related postoperative complications. At a median follow-up period of 9 months, all the patients were alive and no recurrence was found.

Conclusion

LESS-IL is a feasible and safe technique for the surgical management of gynecologic cancers.

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Funding

This work was supported by National Natural Science Foundation of China (no. 81673130).

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Zhongda Hospital, School of Medicine, Southeast University, No.87, Hu South Road, Nanjing, 210009, Jiangsu, People’s Republic of China

    Jingyun Xu, Bo Ding, Xiaoyu Zhang, Mulan Ren & Yang Shen

  2. Minimally Invasive Gynecology Surgery, Baylor College of Medicine, Houston, TX, USA

    Kristina Duan

  3. Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA

    Xiaoming Guan

Authors
  1. Jingyun Xu
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  2. Kristina Duan
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  3. Xiaoming Guan
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  4. Bo Ding
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  5. Xiaoyu Zhang
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  6. Mulan Ren
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  7. Yang Shen
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Contributions

JYX: project development, data collection, data analysis, manuscript writing. KD: acquisition of data, data analysis, manuscript writing. XMG: data collection, drafting of manuscript and/or critical revision. BD: acquisition of data, data analysis. XYZ: data analysis, manuscript writing and/or critical revision. MLR: drafting of manuscript and/or critical revision. YS: project development, data collection, approval of final version of manuscript.

Corresponding author

Correspondence to Yang Shen.

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Conflict of interest

The authors declare that they have no conflicts of interest and nothing to disclose.

Ethical approval

This work was approved by the ethics committee of the affiliated hospital of southeast university (no. 2018ZDSYLL150-P01).

Informed consent

The work was conducted with the patients' informed consent, a signed consent form was obtained from each patient.

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Xu, J., Duan, K., Guan, X. et al. Laparoendoscopic single-site inguinal lymphadenectomy in gynecology: preliminary experience at a single institution. Arch Gynecol Obstet 302, 497–503 (2020). https://doi.org/10.1007/s00404-020-05649-5

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  • DOI: https://doi.org/10.1007/s00404-020-05649-5

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