Evidence map›Paper›PMID 41591565›Full record

Observational studyAnnals of surgical oncology2026

Conventional Versus Videoscopic Inguinal Lymphadenectomy in Surgical Oncology: A Retrospective Observational Cohort Study.

Nick Servaas, Loeki Aldenhoven, Merel A Spiekerman van Weezelenburg, Elisabeth R M van Haaren, Alfred Janssen, Berry Meesters, Yvonne L J Vissers, Geerard L Beets, James van Bastelaar

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nick ServaasDepartment of Surgery, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands. n.servaas@zuyderland.nl.ORCID http://orcid.org/0000-0001-8056-7557
Loeki AldenhovenDepartment of Surgery, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands.
Merel A Spiekerman van WeezelenburgDepartment of Surgery, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands.
Elisabeth R M van HaarenDepartment of Surgery, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands.
Alfred JanssenDepartment of Surgery, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands.
Berry MeestersDepartment of Surgery, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands.
Yvonne L J VissersDepartment of Surgery, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands.
Geerard L BeetsDepartment of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
James van BastelaarDepartment of Surgery, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInguinal lymphadenectomy is an important procedure in the treatment of various stage III malignancies and is notorious for postoperative complications, such as surgical site infections, seroma formation, skin flap necrosis, and wound breakdown. This study aims to investigate complication rates after conventional inguinal lymphadenectomy (CIL) and videoscopic inguinal lymphadenectomy (VIL) and to identify potential solutions to decrease complication rates.

methodsThis was a single-center retrospective cohort study comparing CIL with VIL. Primary outcomes were the incidence of surgical complications, severity of surgical complications, readmissions, and surgical reinterventions. Additionally, drain use, flap fixation, antibiotics, unplanned visits, and oncological outcome were compared.

resultsBetween 2010 and 2024, 30 patients underwent CIL and 25 patients underwent VIL. The median operating time for CIL was 100 minutes (interquartile range [IQR] 88-119) compared with 120 minutes (IQR 105-139) for VIL (p = 0.017). The median duration of follow-up for patients in this cohort was 2.2 years (IQR 0.7-5.1). A total of 25 patients (83%) in the CIL group had at least one wound complication, compared with 13 (54%) in the VIL group (p = 0.020). Reinterventions in the first 30 postoperative days were performed in 12 patients (40%) after CIL, compared with none (0%) after VIL (p < 0.001). Disease-specific survival was not significantly different between procedures (p = 0.940).

conclusionsVIL reduced the rate of wound complications, severity of complications, and early surgical reinterventions compared with CIL but prolonged surgery time. The videoscopic procedure seems superior and offers a transformative approach that can be incorporated into contemporary surgical practice.

Indexed as

Inguinal CanalLaparoscopyLymph Node ExcisionNeoplasmsPostoperative ComplicationsVideo-Assisted SurgeryAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisRetrospective StudiesComplicationsGroin dissectionInguinal lymphadenectomyLymph nodeMelanomaMetastasisRectum carcinomaSeroma

Identifiers

PMID41591565
PMCPMC13179235

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.