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Publication
Linfadenectomia no Carcinoma do Pénis: Evolução das Técnicas Cirúrgicas e Indicação
| Name: | Description: | Size: | Format: | |
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| 1.28 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
O carcinoma do pénis é uma neoplasia rara, especialmente em países desenvolvidos, mas
com um impacto significativo na mortalidade e qualidade de vida dos pacientes devido à
sua elevada morbilidade e potencial metastático. A linfadenectomia continua a ser um
componente essencial na gestão e estadiamento do carcinoma do pénis, sobretudo em
casos com disseminação linfática.
Esta revisão narrativa da literatura tem como objetivo examinar a evolução das técnicas
de linfadenectomia, desde as cirurgias abertas tradicionais até abordagens minimamente
invasivas, e explorar a sua eficácia, complicações e resultados clínicos. Analisaram-se
técnicas como a linfadenectomia inguinal radical, abordagens modificadas e opções
minimamente invasivas, incluindo a Linfadenectomia Inguinal Vídeo-endoscópica
(VEIL) e a VEIL assistida por robot (R-VEIL), com foco no impacto destas técnicas na
morbilidade e na eficácia oncológica. As técnicas emergentes demonstram potencial para
reduzir as complicações associadas aos métodos tradicionais; no entanto, cada
abordagem apresenta limitações e indicações específicas que exigem mais investigação.
Esta revisão destaca a necessidade de diretrizes padronizadas e sugere áreas para
pesquisa futura com o intuito de otimizar os resultados no tratamento do carcinoma do
pénis.
Penile cancer is a rare malignancy, particularly in developed countries, yet with a significant impact on patient mortality and quality of life due to its high rates of morbidity and potential for metastasis. Lymphadenectomy remains a critical component in the management and staging of penile carcinoma, especially for cases involving lymphatic spread. This narrative literature review aims to examine the evolution of lymphadenectomy techniques, from traditional open surgeries to minimally invasive approaches, and to explore their effectiveness, complications, and clinical outcomes. Techniques such as radical inguinal lymphadenectomy, modified approaches, and minimally invasive options like Video Endoscopic Inguinal Lymphadenectomy (VEIL) and Robotic-VEIL (R-VEIL) are analyzed with a focus on their impact on morbidity and oncological efficacy. Emerging techniques demonstrate potential in reducing complications associated with traditional methods; however, each approach has distinct limitations and indications that require further investigation. This review emphasizes the need for standardized guidelines and suggests areas for future research to optimize patient outcomes in penile cancer management.
Penile cancer is a rare malignancy, particularly in developed countries, yet with a significant impact on patient mortality and quality of life due to its high rates of morbidity and potential for metastasis. Lymphadenectomy remains a critical component in the management and staging of penile carcinoma, especially for cases involving lymphatic spread. This narrative literature review aims to examine the evolution of lymphadenectomy techniques, from traditional open surgeries to minimally invasive approaches, and to explore their effectiveness, complications, and clinical outcomes. Techniques such as radical inguinal lymphadenectomy, modified approaches, and minimally invasive options like Video Endoscopic Inguinal Lymphadenectomy (VEIL) and Robotic-VEIL (R-VEIL) are analyzed with a focus on their impact on morbidity and oncological efficacy. Emerging techniques demonstrate potential in reducing complications associated with traditional methods; however, each approach has distinct limitations and indications that require further investigation. This review emphasizes the need for standardized guidelines and suggests areas for future research to optimize patient outcomes in penile cancer management.
Description
Keywords
Carcinoma do Pénis Linfadenectomia Metástases Morbilidade Técnicas Cirúrgicas