title: Endoscopic groin lymph node dissection as a preferable technique for malignant skin neoplasms.
abstract: Groin lymph node dissection (GLND) remains an effective treatment for malignant neoplasms of the skin arising on the lower extremities and perineum. However, complications such as seroma, flap necrosis, and infections have been encountered. It is thought that a conventional operation using a long inguinal incision can result in those complications. To minimise the risk of such complications, endoscopic GLND (EGLND) was performed in five patients. No severe complications were found. Although EGLND is still in the developmental stage, this technique is suggested as a possible surgical option for reducing morbidity and improving aesthetic results.
authors.affiliation: Department of Dermatology, Division of Plastic and Reconstructive Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan. ichimiya@yamaguchi-u.ac.jp
authors.forename: Makoto
authors.initials: M
authors.lastname: Ichimiya
authors.forename: Keiichi
authors.initials: K
authors.lastname: Goishi
authors.forename: Masahiko
authors.initials: M
authors.lastname: Muto
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical / Q000503:physiopathology; D002294:Carcinoma, Squamous Cell / Q000556:secondary / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006119:Groin / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D008545:Melanoma / Q000556:secondary / Q000601:surgery; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D061646:Operative Time; D010149:Postoperative Pain / Q000503:physiopathology; D061214:Patient Safety; D011183:Postoperative Complications / Q000517:prevention & control; D012494:Sampling Studies; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome