Articles Vol. 65 No. CĐ 4 - Hội Y học Giới tính Việt Nam 30/05/2024

26. ENDOSCOPIC INGUINAL LYMPHADENECTOMY IN TREATMENT PENILE CANCER- INITIAL EXPERIENCE AT 108 NATIONAL MILITARY HOSPITAL FROM 2023 TO 2024

Nghiem Trung Hung1,2, Tran Duc1,2, Nguyen Tuan Dat1,2, Nguyen Van Phuc1,2, Dang Thu Thuy1,2, Phan Le Nhat Long1,2
1 108 National Military Hospital
2 Bệnh viện Trung ương Quân đội 108
Corresponding author: trunghung0704@gmail.com
DOI: 10.52163/yhc.v65iCD4.1175
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Keywords
Penile cancer, Endoscopic inguinal lymphadenectomy.
Abstract

 Introduction: Penile cancer is a rare disease but has a significant impact on quality of life. It has been found that early inguinal lymphadenectomy can reduce the recurrence rate and provide long-term survival advantages to patients. Endoscopic inguinal lymph node dissection technique is proposed to reduce complications of open surgery.

Objective: To research and report initial results on the effectiveness of laparoscopic inguinal lymphadenectomy in treatment penile cancer at the Andrology department- 108 Central Military Hospital.

Series case report: There were 03 cases of penile cancer that underwent endoscopic inguinal lymphadenectomy from October 2023 to March 2024. Average dredging time per groin was 110.83 minutes. The average number of lymph nodes on both sides was equivalent, at 8.83 lympho nodes per groin, with no metastatic ones. No patient had complications such as surgical wound infection, skin necrosis, postoperative lymphatic cysts, venous thrombosis or pulmonary artery thrombosis. 02 patients had mild edema of both lower extremities when walking a lot or standing for long time, and they had disappearred by conservative treatment. The patients were satisfied with the surgical results.

Discussion: To discuss the general characteristics of patients and the technical characteristics of endoscopic inguinal lymphadenectomy to treat penile cancer; as well as emphasizing the effectiveness and safety of the technique.

Conclusion: Initial results show that endoscopic inguinal lymphadenectomy surgery in the treatment of penile cancer being performed at Central Military Hospital 108 is feasible, safe, effective, and it limits the rate at complications compared to the technique of open lymph node dissection.

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