Robotic-Assisted Inguinal Lymphadenectomy: The University of Texas M.D. Anderson Cancer Center Approach

  • Isuru S. Jayaratnam
  • Surena F. MatinEmail author
  • Curtis A. Pettaway


Robotic-assisted inguinal lymphadenectomy (RAIL) was developed for the surgical staging of the inguinal region for squamous cell carcinoma of the penis in the clinically node negative setting, although this technique can be applied to any genital or lower extremity malignancy that has drainage to the inguinal lymph nodes (vulvar carcinoma, melanoma). This technique has been developed to minimize the morbidity associated with the standard open approach, which includes both infectious complications and lymphedema. Despite the minimally invasive approach, standard oncologic principles are maintained, including adherence to the dissection limits and complete removal of lymph nodes within the dissection template.


Robot assisted Minimally invasive surgery Cancer Lymphadenectomy 

Supplementary material

Video 23.1

RAIL procedure (MP4 563059 kb)


  1. 1.
    Chambers S, et al. Reduction of exit-site infections of tunnelled intravascular catheters among neutropenic patients by sustained-release chlorhexidine dressings: results from a prospective randomized controlled trial. J Hosp Infect. 2005;61(1):53–61.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Isuru S. Jayaratnam
    • 1
  • Surena F. Matin
    • 1
    Email author
  • Curtis A. Pettaway
    • 1
  1. 1.Department of UrologyUT MD Anderson Cancer CenterHoustonUSA

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