title: Saphenous vein sparing during laparoscopic bilateral inguinal lymphadenectomy for penile carcinoma patients.
abstract: OBJECTIVE
  To evaluate the effect of saphenous vein sparing during bilateral inguinal lymphadenectomy (BIL) for penile carcinoma patients.
  
  
  METHODS
  Between May 2011 and May 2013, 23 patients with penile carcinoma who underwent laparoscopic prophylactic BIL were included. All patients were randomized to receive the laparoscopic prophylactic inguinal lymphadenectomy with saphenous vein sparing on one limb and saphenous vein ligated on the other limb. Short-term and long-term complications were compared between the two groups.
  
  
  RESULTS
  There was no significant difference between the two groups in operation time, harvested number of nodes and incidence of positive nodes. Saphenous vein preservation technique significantly reduced the morbidity of acute lymphedema and lower limb lymphedema after BIL. There was no difference between the two groups in acute cellulitis, seroma, wound breakdown, deep venous thrombosis and cellulitis. One patient developed a local recurrence at the 9 months after lymphadenectomy.
  
  
  CONCLUSIONS
  Our preliminary findings suggest that laparoscopic prophylactic BIL with saphenous vein sparing is beneficial in patients with penile carcinoma by reducing the incidence of short-term and long-term postoperative complications.
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, 410000, Hunan, China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Cui
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, 410000, Hunan, China.
authors.forename: Hequn
authors.initials: H
authors.lastname: Chen
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, 410000, Hunan, China.
authors.forename: Longfei
authors.initials: L
authors.lastname: Liu
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, 410000, Hunan, China.
authors.forename: Zhi
authors.initials: Z
authors.lastname: Chen
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, 410000, Hunan, China.
authors.forename: Jinbo
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, 410000, Hunan, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Qi
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, 410000, Hunan, China. zuxbxy@126.com.
authors.forename: Xiongbing
authors.initials: X
authors.lastname: Zu
mesh_terms: D000328:Adult; D000368:Aged; D001706:Biopsy; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008026:Ligation; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008209:Lymphedema / Q000209:etiology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010412:Penile Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Complications; Inguinal lymphadenectomy; Laparoscopic; Penile carcinoma; Saphenous vein sparing