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Research Article

Laparoscopic inguinal lymph node dissection in carcinoma of the vulva: experience and intermediate results at one institution

ORCID Icon &
Pages 11-17 | Received 27 Jan 2021, Accepted 31 Mar 2021, Published online: 03 May 2021

Figures & data

Figure 1: Room setting, with laparoscopy stack placed at the patient’s head, with patient’s thighs abducted and internally rotated to access femoral triangle.

Figure 1: Room setting, with laparoscopy stack placed at the patient’s head, with patient’s thighs abducted and internally rotated to access femoral triangle.

Figure 2: (A) 10 mm vision port placed 2 mm caudal to the apex of the femoral triangle with telescope inserted. (B) Second trocar (5 mm) inserted under vision 5 cm medial to the vision port. (C) All THREE ports inserted and working space developed further cranially.

Figure 2: (A) 10 mm vision port placed 2 mm caudal to the apex of the femoral triangle with telescope inserted. (B) Second trocar (5 mm) inserted under vision 5 cm medial to the vision port. (C) All THREE ports inserted and working space developed further cranially.

Figure 3: Undermining the skin flap below the Scarpa fascia and cranial extension of the working space.

Figure 3: Undermining the skin flap below the Scarpa fascia and cranial extension of the working space.

Figure 4: Removal of lymph node basin.

Figure 4: Removal of lymph node basin.

Figure 5: Lymph node basin removed with identification and sparing of the great saphenous vein.

Figure 5: Lymph node basin removed with identification and sparing of the great saphenous vein.

Figure 6: Closure and suction drain inserted.

Figure 6: Closure and suction drain inserted.

Table 1: Patients’ background characteristics

Table 2: Perioperative and pathological characteristics

Table 3: Lymph node harvest for each groin by L-MILND

Table 4: Postoperative complications