Skip to main content

Advertisement

Log in

Robotic inguinal lymph node dissection for melanoma: a novel approach to a complicated problem

  • Letter to the Editor
  • Published:
Journal of Robotic Surgery Aims and scope Submit manuscript

Abstract

Following the interesting reading of the article “Robotic inguinal lymph node dissection for melanoma: a novel approach to a complicated problem”, the authors review the pros and cons of a minimally invasive technique for lymph node dissection, the consequences of complete lymph node dissection and the possible treatments for lymphedema, such as lymph node flap transfer and multiple lymphatic-venous anastomoses. The authors also review the possible benefits of applying the robotic technique to anatomical sites other than the inguinal one.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Hyde GA, Jung NL, Valle AA, Bhattacharya SD, Keel CE (2018) Robotic inguinal lymph node dissection for melanoma: a novel approach to a complicated problem. J Robot Surg 12(4):745–748

    Article  PubMed  Google Scholar 

  2. Tonouchi H, Ohmori Y, Kobayashi M, Konishi N, Tanaka K, Mohri Y, Mizutani H, Kusunoki M (2004) Operative morbidity associated with groin dissections. Surg Today 34(5):413–418

    Article  PubMed  Google Scholar 

  3. Bland KI, Klamer TW, Polk HC Jr, Knutson CO (1981) Isolated regional lymph node dissection: morbidity, mortality and economic considerations. Ann Surg 193(3):372–376

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Spillane AJ, Cheung BL, Stretch JR, Scolyer RA, Shannon KF, Quinn MJ, Saw RP, McCarthy WH, Thompson JF (2009) Proposed quality standards for regional lymph node dissections in patients with melanoma. Ann Surg 249(3):473–480

    Article  PubMed  Google Scholar 

  5. Sandro P, Andrea M, Nicola M, Simone M, Giuseppe M, Lorenzo B, Nicola S, Dario P, Luigi M, Giuseppe G, Roberto P, Corrado C, Simone R, Ugo M, Mario S, Riccardo RC (2015) Lymph-node ratio in patients with cutaneous melanoma: a multi-institution prognostic study. Ann Surg Oncol 22(7):2127–2134

    Article  PubMed  Google Scholar 

  6. Rossi CR, Mozzillo N, Maurichi A, Pasquali S, Macripò G, Borgognoni L, Solari N, Piazzalunga D, Mascheroni L, Giudice G, Mocellin S, Patuzzo R, Caracò C, Ribero S, Marone U, Santinami M (2014) Number of excised lymph nodes as a quality assurance measure for lymphadenectomy in melanoma. JAMA Surg 149(7):700–706

    Article  PubMed  Google Scholar 

  7. Zhang SH, Sood AK, Sorosky JI, Anderson B, Buller RE (2000) Preservation of the saphenous vein during inguinal lymphadenectomy decreases morbidity in patients with carcinoma of the vulva. Cancer 89(7):1520–1525

    Article  CAS  PubMed  Google Scholar 

  8. Giudice G, Leuzzi S, Robusto F, Ronghi V, Nacchiero E, Giardinelli G, Di Gioia G, Ragusa L, Pascone M (2014) Sentinel lymph node biopsy in head and neck melanoma. G Chir 35(5–6):149–155

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Ciudad P, Yeo MS, Sapountzis S, Lim SY, Nicoli F, Maruccia M, Kiranantawat K, Chen HC (2014) Microsurgical debulking procedure after free lymph node flap transfer. Microsurgery 34(8):670–671

    Article  PubMed  Google Scholar 

  10. Ciudad P, Manrique OJ, Date S, Agko M, Perez Coca JJ, Chang WL, Lo Torto F, Nicoli F, Maruccia M, López Mendoza J, Chen HC (2017) Double gastroepiploic vascularized lymph node transfers to middle and distal limb for the treatment of lymphedema. Microsurgery 37(7):771–779

    Article  PubMed  Google Scholar 

  11. Ciudad P, Kiranantawat K, Sapountzis S, Yeo MS, Nicoli F, Maruccia M, Sirimahachaiyakul P, Chen HC (2015) Right gastroepiploic lymph node flap. Microsurgery 35(6):496–497

    Article  PubMed  Google Scholar 

  12. Ciudad P, Date S, Lee MH, Lo Torto F, Nicoli F, Araki J, Chen HC (2016) Robotic harvest of a right gastroepiploic lymph node flap. Arch Plast Surg 43(2):210–212

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

All authors hereby declare not to have any potential conflict of interests and not to have received funding for this work. Each author participated sufficiently in the work to take public responsibility for the content and agree to its publication.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Erica Tedone Clemente.

Ethics declarations

Conflict of interest

None disclosed.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Elia, R., Tedone Clemente, E., Vestita, M. et al. Robotic inguinal lymph node dissection for melanoma: a novel approach to a complicated problem. J Robotic Surg 13, 361–362 (2019). https://doi.org/10.1007/s11701-018-00906-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11701-018-00906-x

Keywords

Navigation