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Oncological outcome of videoscopic groin dissection for lymph node metastasis from melanoma

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Abstract

Background

Videoscopic inguinal lymphadenectomy (VIL) represents an innovative approach for patients with melanoma lymph node (LN) metastases, mainly aimed at lowering wound-related morbidity. However, long-term data on oncologic safety are still lacking. The aim of this study is to review the oncologic outcome of videoscopic groin dissection in a single institution caseload.

Methods

Data were prospectively gathered on patients with inguinal melanoma metastasis who underwent VIL. Clinical data included age, race, sex, tumor histology, node counts and number of metastatic nodes. Disease-free survival and overall survival were monitored based on an institutional follow-up schedule. The study was approved by the local ethics committee (Video-SIIO II study).

Results

We analyzed 48 videoscopic groin dissections performed in 50 patients (2 patients underwent bilateral VIL). Median age was 54.5 years. Female/male ratio was 15/33. Indication for surgery was positive inguinal sentinel biopsy and cytological confirmed clinical disease in 40 and 10 cases, respectively. Median LN retrieval count was 19. After a median follow-up of 28 months, groin recurrence (lymphatic basin) was observed in one single case.

Conclusions

VIL for melanoma LN metastases is associated with a favorable oncologic outcome. In particular, LN yield and locoregional recurrence rate obtained with videoscopic dissection are comparable to those reported with the open technique. Prospective studies are needed to confirm these results in a larger cohort of patients.

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Acknowledgments

The authors wish to thank Ms. Christina Drace for English editing.

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Authors and Affiliations

  1. Unit of Surgical Oncology of the Esophagus and Digestive Tract, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy

    Antonio Sommariva, Marco Tonello & Pierluigi Pilati

  2. Surgical Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy

    Camilla Cona & Carlo Riccardo Rossi

  3. Unit of Surgical Oncology of the Esophagus and Digestive Tract, Surgical Oncology Department, Veneto Institute of Oncology IOV-IRCCS, Via dei Carpani, 16, 31033, Castelfranco, Veneto, TV, Italy

    Antonio Sommariva

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  1. Antonio Sommariva
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  2. Camilla Cona
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Correspondence to Antonio Sommariva.

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Antonio Sommariva, Camilla Cona, Marco Tonello, Pierluigi Pilati and Carlo Riccardo Rossi have no conflicts of interest or financial ties to disclose.

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Sommariva, A., Cona, C., Tonello, M. et al. Oncological outcome of videoscopic groin dissection for lymph node metastasis from melanoma. Surg Endosc 35, 2576–2582 (2021). https://doi.org/10.1007/s00464-020-07675-5

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  • DOI: https://doi.org/10.1007/s00464-020-07675-5

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