Video endoscopic inguinal lymphadenectomy and open inguinal lymphadenectomy for penile cancer in China: a systematic review

Authors

  • Jiang-Ping Du Affiliated Hospital of Hebei University of Engineering, Handan, Hebei Province, P.R. China
  • Nirmal Lamichhane BP Koirala Memorial Cancer Hospital. Bharatpur, Chitwan, Nepal

DOI:

https://doi.org/10.3126/njc.v2i1.25641

Keywords:

Penile cancer, laparoscopes, groin, lymph node dissection

Abstract

Background: To evaluate the effect between video endoscopic inguinal lymphadenectomy (VEIL) and open inguinal lymphadenectomy (OIL) for penile cancer to provide the evidence-based basis for the selection of the clinical therapy schemes.

Methods: The related clinical controlled trial literatures on the effective comparison of VEIL and OIL were retrieved from the databases of CNKI and Wanfang database. The screening was independently performed by reviewer according to the including and excluding criteria. The related data were extracted and the meta-analysis performed by the RevMan 5.3 software.

Results: A total of 9 trials were included. There were 335 cases of inguinal lymphadenectomies, in which 151 cases were VEIL and 184 cases were OIL. The meta-analysis results showed that there were no statistical differences between the two types of operations in terms of the operative time (WMD=28.74, 95% CI-4.12~61.60, P=0.09), but the difference between VEIL and OIL in term of intra-operative blood loss (WMD=-29.24, 95% CI–55.24~- 22.89, P<0.01), postoperative hospital stays (WMD=-3.43, 95%CI–5.07~-1.80, P<0.01), postoperative drainage time (WMD=-3.81, 95%CI–5.38~-2.23, P<0.01), surgical complications (Number of sides OR=0.53, 95% CI0.34~0.81, P<0.01; Number of cases OR=0.36, 95% CI0.24~0.54, P<0.01).

Conclusion: VEIL has approximately the same time of operation to OIL, but has less intra-operative blood loss, hospital stay, postoperative drainage time and surgical complications.

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Author Biographies

Jiang-Ping Du, Affiliated Hospital of Hebei University of Engineering, Handan, Hebei Province, P.R. China

Department of Urology and Andrology. Now at Urology Unit, B. P. Koirala Memorial Cancer Hospital, Bhagalpur, Nepal.

Nirmal Lamichhane, BP Koirala Memorial Cancer Hospital. Bharatpur, Chitwan, Nepal

Department of Surgical Oncology, Urology Unit

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Published

2018-09-30

How to Cite

Du, J.-P., & Lamichhane, N. (2018). Video endoscopic inguinal lymphadenectomy and open inguinal lymphadenectomy for penile cancer in China: a systematic review. Nepalese Journal of Cancer, 2(1), 1–5. https://doi.org/10.3126/njc.v2i1.25641

Issue

Section

Review Articles