Radiology and Imaging
for better endoscopic identification of nodes, techniques to reduce lymphatic events, and robotic surgery. Reduction of the learning curve and ergonomic issues are the most important advantages of robotic technology.
VEIL is a safe and feasible technique for patients with penile carcinoma. VEIL allows a decrease in post-operative morbidity without compromising oncological control. Based on the data available in the literature, VEIL has the potential to become the chosen minimally invasive procedure for prophylactic inguinal lymphadenectomy in patients with penile cancer. New reports with more patients and a longer follow-up will be necessary to define the real value of this new technique in the modern urological oncology armamentarium. n
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Ficarra V, Zattoni F, Cunico SC, et al., Gruppo Uro- Oncologico del Nord Est (Northeast Uro-Oncological Group) Penile Cancer Project. Lymphatic and vascular embolizations are independent predictive variables of inguinal lymph node involvement in patients with squamous cell carcinoma of the penis: Gruppo Uro-Oncologico del Nord Est (Northeast Uro-Oncological Group) Penile Cancer data base data, Cancer, 2005;103(12):2507–16.
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10. Lont AP, Horenblas S, Tanis PJ, et al., Management of clinically node negative penile carcinoma: improved survival after the introduction of dynamic sentinel node biopsy, J Urol, 2003;170:783.
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13. Bishoff JA, Lackland AFB, Basler JW, et al., Endoscopy subcutaneous modified inguinal limph node dissection (ESMIL) for squamous cell carcinoma of the penis, J Urol, 2003;169(4):78.
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17. Schuessler WW, Vancaillie TG, Reich H, Griffith DP, Transperitoneal endosurgical lymphadenectomy in patients with localized prostate cancer, J Urol, 1991;145:988–93.
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21. Machado MT, Molina Jr WR, Tavares A, et al., Comparative study between videoendoscopic inguinal lymphadenectomy (VEIL) and standard open procedure for penile cancer: preliminary surgical and oncological results, J Urol, 2005;173:226.
22. Tobias-Machado M, Tavares A, Ornellas AA, et al., Video endoscopic inguinal lymphadenectomy: a new minimally invasive procedure for radical management of inguinal nodes in patients with penile squamous cell carcinoma, J Urol, 2007;177:953–8.
23. Tobias-Machado M, Tavares A, Silva MN, et al., Can video endoscopic inguinal lymphadenectomy achieve a lower morbidity than open lymph node dissection in penile cancer patients?, J Endourol, 2008;22:1687–91.
24. Tobias-Machado M, Tavares A, Molina Jr WR, et al., Video endoscopic inguinal lymphadenectomy (VEIL) with saphenous vein preservation: demonstration of feasibility (video), J Endourol, 2007;21:1.
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Walter F Correa attends the Fellowship Programme in Urological Oncology and Laparoscopy at ABC Medical School and Brazilian Institute of Cancer Control and is a member of the Urological Department of Ana Costa Hospital in Santos, Brazil. His primary focus is minimally invasive surgery for urological cancers, and he has had many articles published or presented at urological congresses.
Marcos Tobias-Machado is Head of the Urological Oncology Section of ABC Medical School and Brazilian Institute of Cancer Control. He was previously medical visitor and Fellow at the University of Miami and the University of Paris. Professor Tobias-Mechado is a pioneer of several laparoscopic procedures in Brazil and is devoted to developing new minimally invasive techniques.
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32. Theodorescu D, Russo P, Zhang ZF, et al., Outcomes of initial surveillance of invasive squamous cell carcinoma of the penis and negative nodes, J Urol, 1996;155:1626–31.
33. Schuessler WW, Vancaillie TG, Reich H, Griffith DP, Transperitoneal endosurgical lymphadenectomy in patients with localized prostate cancer, J Urol, 1991;145:988–93.
34. Tobias-Machado M, Wroclawski ER, Juliano RV, et al., Radical and staged simplified video endoscopic inguinal lymphadenectomy (VEIL): minimally invasive options to achieved reduced morbidity in penile carcinoma lymph node management, Urology, 2008;72:S110.
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