Complications and adverse events in lymphadenectomy of the inguinal area: worldwide expert consensus-Reference-Cited by-同舟云学术

Complications and adverse events in lymphadenectomy of the inguinal area: worldwide expert consensus

Published:2024-07-02 Issue:4 Volume:8 Page:
ISSN:2474-9842
Container-title:BJS Open
language:en
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Author:

Sotelo René¹,Sayegh Aref S¹²^ORCID,Medina Luis G¹,Perez Laura C¹³,La Riva Anibal¹⁴,Eppler Michael B¹,Gaona José⁵,Tobias-Machado Marcos⁶,Spiess Philippe E⁷,Pettaway Curtis A⁸,Lima Pompeo Antonio Carlos⁹,Lima Mattos Pablo Aloisio¹⁰,Wilson Timothy G¹¹,Villoldo Gustavo M¹²,Chung Eric¹³^ORCID,Samaniego Aldo¹⁴,Ornellas Antonio Augusto¹⁵,Pinheiro Vladimir¹⁶,Brazão Eder S¹⁶,Subira-Rios David¹⁷,Koifman Leandro¹⁸,Zequi Stênio de Cassio¹⁹²⁰²¹,Pontillo Z Humberto M²²,Rodrigues Calixto José de Ribamar²³,Campos Silva Rafael²⁴,Smithers B Mark²⁵^ORCID,Garzon Simone²⁶,Haase Oliver²⁷,Sommariva Antonio²⁸,Fruscio Robert²⁹,Martins Francisco³⁰,de Oliveira Pedro S³⁰,Levi Sandri Giovanni Battista³¹,Clementi Marco³²,Astigueta Juan³³,Metwally Islam H³⁴,Bharathan Rasiah³⁵,Jindal Tarun³⁶,Nakamura Yasuhiro³⁷,Abdel Mageed Hisham³⁸,Jeevarajan Sakthiushadevi³⁹^ORCID,Rodriguez Lay Ramón⁴⁰,García-Perdomo Herney Andrés⁴¹,Rodríguez González Omaira⁴²,Ghodoussipour Saum⁴³,Gill Inderbir¹,Cacciamani Giovanni E¹

Affiliation:

1. Catherine and Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California , USA

2. Department of Surgery, MedStar Franklin Square Medical Center , Baltimore, Maryland , USA

3. Department of Surgery, Johns Hopkins University School of Medicine , Baltimore, Maryland , USA

4. Department of General Surgery, Digestive Disease & Surgery Institute, Cleveland Clinic Foundation , Cleveland, Ohio , USA

5. Universidad de Santander, Instituto Uromédica , Bucaramanga , Colombia

6. Department of Urology, Instituto do Câncer Arnaldo Vieira de Carvalho , São Paulo , Brazil

7. Department of Genitourinary Oncology and Tumor Biology, Moffitt Cancer Center , Tampa, Florida , USA

8. The University of Texas, M.D. Anderson Cancer Center , Houston, Texas , USA

9. Department of Urology, Faculdade de Medicina do ABC , São Paulo , Brazil

10. Department of Urology, Associação Piauiense de Combate ao Câncer , Teresina, Piauí , Brazil

11. Department of Urology, Providence St. John’s Cancer Institute , Santa Monica, California , USA

12. Department of Urology, Instituto Alexander Fleming , Buenos Aires , Argentina

13. Department of Urology, Princess Alexandra Hospital, University of Queensland , Brisbane, Queensland , Australia

14. Department of Urology, Servicio de Urología del Hospital Central del Instituto de Previsión Social , Asunción , Paraguay

15. Departamento de Urologia, Instituto Nacional do Câncer do Brasil (INCA) , Rio de Janeiro , Brazil

16. Department of Urology, AC Camargo Cancer Center , São Paulo , Brazil

17. Department of Urology, Gregorio Marañon Universitary Hospital , Madrid , Spain

18. Serviço de Urologia, Hospital Municipal Souza Aguiar , Rio de Janeiro, Rio de Janeiro , Brazil

19. Department of Urology, AC Camargo Cancer Center-São Paulo , São Paulo , Brazil

20. Department of Urology, National Institute for Science and Technology in Oncogenomics and Therapeutic Innovation , São Paulo , Brazil

21. Graduate School of Urology, Escola Paulista de Medicina-Universidade Federal de São Paulo , São Paulo , Brazil

22. Department of Surgery, Sant Jaume of Calella Hospital , Barcelona , Spain

23. Department of Medicine II, Federal University of Maranhão , São Luís, Massachusetts , Brazil

24. Hospital Universitário Presidente Dutra—HUPD/UFMA Department of Urology, , São Luís, Maranhão , Brazil

25. University of Queensland, Queensland Melanoma Project, Princess Alexandra Hospital , Brisbane, Queensland , Australia

26. Department of Surgery, Dentistry, Pediatrics, and Gynecology, University of Verona , Verona , Italy

27. Department of Surgery, University Medicine Berlin—Charité , Berlin , Germany

28. Veneto Institute of Oncology Institute Oncology Veneto, Istituto Di Ricovero e Cura a Carattere Scientifico , Padova , Italy

29. Department of Medicine and Surgery, University of Milan Bicocca , Azienda Socio Sanitaria Territoriale Monza , Italy

30. Department of Urology, Centro Hospitalar Universitário Lisboa Norte, Hospital de Santa Maria , Lisbon , Portugal

31. Department of Surgery, ASL Frosinone , Frosinone , Italy

32. Department of Medicine, Health and Life, University of L'Aquila , L'Aquila, AQ , Italy

33. Universidad Privada Antenor Orrego Department of Urology, , Trujillo , Perú

34. Surgical Oncology Department, Oncology Center Mansoura University (OCMU) , Mansoura , Egypt

35. Department of Gynaecological Oncology, Medical University of Vienna , Vienna , Austria

36. Department of Uro-oncology, Narayana Super Speciality Hospital , Howrah , India

37. Department of Skin Oncology/Dermatology, Saitama Medical University International Medical Center , Saitama , Japan

38. Surgical Oncology Department, National Cancer Institute Cairo University , Cairo , Egypt

39. Department of Surgical Oncology, Regional Cancer Centre , Kanchipuram, Tamil Nadu , India

40. Clinic Urology Service, Complejo Hospitalario Metropolitano , Madrid , Panama

41. Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle , Cali , Colombia

42. Chief of Surgical Department, Clínicas Caracas Hospital, Faculty of Medicine, Central University of Venezuela , Caracas , Venezuela

43. Sections of Urologic Oncology, Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School , New Brunswick, New Jersey , USA

Abstract

Abstract Background Inguinal lymph node dissection plays an important role in the management of melanoma, penile and vulval cancer. Inguinal lymph node dissection is associated with various intraoperative and postoperative complications with significant heterogeneity in classification and reporting. This lack of standardization challenges efforts to study and report inguinal lymph node dissection outcomes. The aim of this study was to devise a system to standardize the classification and reporting of inguinal lymph node dissection perioperative complications by creating a worldwide collaborative, the complications and adverse events in lymphadenectomy of the inguinal area (CALI) group. Methods A modified 3-round Delphi consensus approach surveyed a worldwide group of experts in inguinal lymph node dissection for melanoma, penile and vulval cancer. The group of experts included general surgeons, urologists and oncologists (gynaecological and surgical). The survey assessed expert agreement on inguinal lymph node dissection perioperative complications. Panel interrater agreement and consistency were assessed as the overall percentage agreement and Cronbach’s α. Results Forty-seven experienced consultants were enrolled: 26 (55.3%) urologists, 11 (23.4%) surgical oncologists, 6 (12.8%) general surgeons and 4 (8.5%) gynaecology oncologists. Based on their expertise, 31 (66%), 10 (21.3%) and 22 (46.8%) of the participants treat penile cancer, vulval cancer and melanoma using inguinal lymph node dissection respectively; 89.4% (42 of 47) agreed with the definitions and inclusion as part of the inguinal lymph node dissection intraoperative complication group, while 93.6% (44 of 47) agreed that postoperative complications should be subclassified into five macrocategories. Unanimous agreement (100%, 37 of 37) was achieved with the final standardized classification system for reporting inguinal lymph node dissection complications in melanoma, vulval cancer and penile cancer. Conclusion The complications and adverse events in lymphadenectomy of the inguinal area classification system has been developed as a tool to standardize the assessment and reporting of complications during inguinal lymph node dissection for the treatment of melanoma, vulval and penile cancer.

Publisher

Oxford University Press (OUP)

Link

https://academic.oup.com/bjsopen/article-pdf/8/4/zrae056/58904745/zrae056.pdf

Reference46 articles.

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1. Erratum to: Complications and adverse events in lymphadenectomy of the inguinal area: worldwide expert consensus;BJS Open;2024-07-02