Modified ilioinguinal node dissection for metastatic melanoma

Background: Standard ilioinguinal node dissection for melanoma has substantial cost and morbidity. Beginning in 1988, we modified the procedure in hopes of reducing side effects without compromising survival. Patients and methods: Dissection was standard except for preservation of saphenous vein and...

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Bibliographic Details
Published in:The American journal of surgery 1995-12, Vol.170 (6), p.647-650
Main Authors: Pearlman, Nathan W., Robinson, William A., Dreiling, Lyndah K., Mclntyre, Robert C., Gonzales, Rene
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Disease-Free Survival
Dissection
Edema
Female
Groin
Humans
Length of Stay
Lymph Node Excision - adverse effects
Lymph Node Excision - methods
Lymphatic Metastasis
Male
Melanoma
Melanoma - mortality
Melanoma - surgery
Metastases
Middle Aged
Morbidity
Neoplasm Recurrence, Local
Nodes
Patients
Postoperative Complications
Sheaths
Side effects
Survival
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Summary:Background: Standard ilioinguinal node dissection for melanoma has substantial cost and morbidity. Beginning in 1988, we modified the procedure in hopes of reducing side effects without compromising survival. Patients and methods: Dissection was standard except for preservation of saphenous vein and femoral sheath and omission of sartorius muscle transfer. To date, 19 patients with recurrent melanoma in the groin have had the procedure, 6 for N1 disease and 13 for N2, M1 metastases. Results: Average hospital stay was 4.5 days (range 3 to 7). Postoperative edema occurred in 1 (5%) patient. Disease-free survival at 40 months was 66% for N1 disease and 26% for N2, M1 metastases. Conclusion: Modified ilioinguinal node dissection appears to reduce cost and morbidity of treating recurrent melanoma in the groin without compromising survival.
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(99)80034-8