ArticleInternational braz j urol : official journal of the Brazilian Society of Urology
Advancing Surgical Management of Penile Cancer: Single Port Bilateral Inguinal Lymph Node Dissection.
Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Initial experience and technical description of robot-assisted single-port laparoscopic bilateral inguinal lymph node dissection for penile cancer: a report of two cases.Translational andrology and urology · 2026Article
- Assessing the density of lymph node metastasis in various inguinal regions of penile cancer using the nine-section method: A prospective study.Oncology letters · 2026Article
- Penile cancer and lymph node management: a call for standardization.International urology and nephrology · 2026Review
- Predicting inguinal lymph node metastasis in penile squamous cell carcinoma, from imaging, molecular biomarkers to multimodal AI: a narrative review.Translational andrology and urology · 2026Review
- The current landscape of single-port robotic surgery in urology.Nature reviews. Urology · 2026Review
- Initial case series and perioperative outcomes of single-port robotic radical prostatectomy: the Italian experience.The Canadian journal of urology · 2026Article
- Da Vinci Single-Port Robotic Surgery in Europe: Where Do We Stand? A Systematic Review.Journal of clinical medicine · 2025Review
- Single-Port Robot-Assisted Post-Chemotherapy Unilateral Retroperitoneal Lymph Node Dissection: Feasibility and Surgical ConsiderationsInternational braz j urol : official journal of the Brazilian Society of UrologyArticle
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Authors and funding
10 authors.
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Abstract
introductionPenile cancer is a rare but aggressive malignancy, with inguinal lymph node involvement representing a key prognostic indicator (1, 2). NCCN guidelines recommend prophylactic inguinal lymph node dissection (ILND) for intermediate-to-high-risk patients (pT1b, ≥T2) with non-palpable nodes, aiming for early staging and improved outcomes (3). The SP-approach employs a single incision and advanced robotic instrumentation to enhance maneuverability, reduce morbidity, and optimize recovery. Widely used in kidney and prostate surgery (4, 5), this is, to our knowledge, its first application for ILND in Europe. MATERIAL AND
methodsThis video shows a novel robotic-assisted bilateral, superficial and deep ILND using the DaVinci SP™ system. In this patient, a preoperative 3D reconstruction allowed detailed visualization of lymph nodes and surrounding structures, enabling precise dissection and an improved intraoperative orientation using Tilepro feature.
resultsCompared to open techniques, robotic ILND offers similar lymph node yields with superior cosmetic outcomes and reduced postoperative pain (6). These benefits are amplified with the SP system, which excels in the constrained inguinal region by minimizing instrument interference and enhancing efficiency (7). Fewer incisions minimized risks such as wound infections and skin necrosis (8). Limitations of the SP-technique might include extended operative times, especially during the learning phase, and the absence of long-term oncological data. Additionally, complex cases requiring concurrent pelvic lymphadenectomy may necessitate repositioning the robotic system, increasing procedure time.
conclusionsSP robotic-assisted ILND can represent a significant advancement in the surgical management of penile cancer, combining oncological safety with reduced surgical morbidity. Future studies are needed to validate these findings, compare surgical outcomes, and assess long-term efficacy.
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