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Robotic-Assisted Pelvic Lymphadenectomy for Metastatic Melanoma Results in Durable Oncologic Outcomes.


ABSTRACT:

Background

Robotic pelvic lymphadenectomy (rPLND) has been demonstrated to be a safe and effective minimally invasive approach for patients with metastatic melanoma to the iliac nodes. However, the long-term oncologic benefit of this procedure remains poorly defined.

Methods

A single-institutional study comparing perioperative outcomes and survival [recurrence-free (RFS) and overall survival (OS)] between rPLND and open PLND (oPLND) for metastatic melanoma was conducted.

Results

From 2006 to 2018, a total of 63 PLND cases were identified: 22 rPLND and 41 oPLND. Evidence of isolated pelvic metastasis was the most common indication for PLND in both groups (rPLND: 64%, oPLND: 85%). There was no difference in median pelvic lymph node yield (11 vs. 9 nodes, p?=?0.65). Neither treatment group experienced a Clavien-Dindo complication???3. rPLND was associated with a shorter length of stay compared with oPLND (2 vs. 4 days, p?ConclusionsrPLND for metastatic melanoma is a safe, minimally invasive treatment strategy that appears to result in similar intermediate term recurrence and survival rates as oPLND but shorter hospital stays.

SUBMITTER: Miura JT 

PROVIDER: S-EPMC7771311 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Publications

Robotic-Assisted Pelvic Lymphadenectomy for Metastatic Melanoma Results in Durable Oncologic Outcomes.

Miura John T JT   Dossett Lesly A LA   Thapa Ram R   Kim Youngchul Y   Potdar Aishwarya A   Daou Hala H   Sun James J   Sarnaik Amod A AA   Zager Jonathan S JS  

Annals of surgical oncology 20190404 1


<h4>Background</h4>Robotic pelvic lymphadenectomy (rPLND) has been demonstrated to be a safe and effective minimally invasive approach for patients with metastatic melanoma to the iliac nodes. However, the long-term oncologic benefit of this procedure remains poorly defined.<h4>Methods</h4>A single-institutional study comparing perioperative outcomes and survival [recurrence-free (RFS) and overall survival (OS)] between rPLND and open PLND (oPLND) for metastatic melanoma was conducted.<h4>Result  ...[more]

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