Transperitoneal laparoscopical iliac lymphadenectomy for treatment of malignant melanoma

F. Picciotto, E. Volpi, A. Zaccagna, D. Siatis

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Current treatment for melanoma of the lower limb includes excision of the primary tumor with ilioinguinal lymphadenectomy in the case of lymph node metastases. The standard surgical approach includes sectioning of the inguinal ligament to gain access to the iliac nodes. More recently, some authors have reported that extraperitoneal laparoscopically assisted ilioinguinal lymphadenectomy for the treatment of malignant melanoma is feasible and less aggressive than standard open surgery. So far, no publications have described transperitoneal laparoscopic iliac lymphadenectomy (TPLND). Methods: From November 2001 to June 2002, 13 patients with ilioinguinal node melanoma metastases underwent TPLND (stage IIIA in 1 case, IIIB in 5 cases, IIIC in 4 cases, and IV in 3 cases). Results: In all 13 cases, the TPLND and groin dissection was performed correctly. Operative time, intra- and postoperative complications, number of lymph nodes retrieved, immediate morbidity, hospital stay, and feasibility of TPLND were evaluated. Conclusions: This study was conducted to evaluate the feasibility and the preliminary results of TPLND used to manage malignant melanoma of the lower limb. This approach has many advantages over the traditional procedure: less surgical trauma, no incision of the abdominal muscles or the inguinal ligament, and less postoperative pain. Moreover, as compared with extraperitoneal laparoscopically assisted ilioinguinal lymphoadenectomy, it provides an improved view of the operative area, dissection zone, and surrounding structures. Further research is needed to confirm these preliminary results regarding the potential applications of this method for treating malignant metastasis to the lower limb.

Original languageEnglish
Pages (from-to)1536-1540
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume17
Issue number10
DOIs
Publication statusPublished - Oct 2003

Keywords

  • Ilioinguinal lymphadenectomy
  • Laparoscopic iliac lymphadenectomy
  • Laparoscopy
  • Malignant melanoma
  • Metastatic melanoma

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Transperitoneal laparoscopical iliac lymphadenectomy for treatment of malignant melanoma'. Together they form a unique fingerprint.

Cite this