title: [Invasiveness of lymphadenectomy in penis cancer].
abstract: Obligatory statements on the value of lymphadenectomy in penile cancer are difficult because of the rarity of the tumor. Reservations against a general application of inguinal or ileoinguinal lymphadenectomy in penile cancer are made because of severe complications as long-term lymph fistulas, skin necroses, scar contractures, vascular injuries and restrictions of the leg motility. Measures to reduce these complications are of great value. By a special intraoperative and postoperative regimen in our own patients severe complications could be avoided. With the use of absorbable ligation material the development of long-term fistulas is prevented and by a redon drainage of 15 days the development of wound ruptures and scar contractures are avoided. Although in all cases investigated by lymphangiography a lymph flow obstruction was verified only discrete lymph edemas of the lower extremities were found clinically. Thereby an opening of preformed lympho-venous anastomoses due to outflow obstruction and simultaneous tissue compression should be assumed.
authors.affiliation: Klinik für Urologie, Medizinischen Akademie Carl Gustav Carus Dresden.
authors.forename: J
authors.initials: J
authors.lastname: Schubert
authors.forename: H
authors.initials: H
authors.lastname: Nitzsche
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008209:Lymphedema / Q000209:etiology; D008297:Male; D010412:Penile Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology
vernacular_title: Zur Invasivität der Lymphadenektomie beim Peniskarzinom.