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Introduction <p>Vulvar cancer often presents late due to stigma, with open inguinal lymph node dissection (OILND) being effective but highly morbid. Advanced techniques like sentinel lymph node biopsy and video endoscopic inguinal lymph node dissection (VEIL) reduce morbidity but face limitations. Robotic-assisted VEIL (RAVEIL) shows promise in reducing complications and is well established in penile cancers but is relatively less reported in vulvar cancer. This study compares RAVEIL and OILND outcomes in vulvar cancer.</p> Patients &amp; Methods <p>A retrospective analysis was conducted on patients who underwent RAVEIL or OILND for vulvar cancer between January 2021 and March 2024. Data were collected on patient characteristics, surgical details, postoperative outcomes, and histopathological findings. Statistical analysis was performed using SPSS Version 22, with significance set at <i>p</i> &lt; 0.05.</p> Results <p>Twenty-four RAVEIL and thirty OILND were done in 12 &amp; 15 vulvar cancer patients, respectively. There were no statistically significant differences in patient demographics, comorbidities, or surgical parameters between the groups. The mean surgery duration was 74.76&#xa0;min for RAVEIL and 60.65&#xa0;min for OILND (NS). Wound infections were significantly lower in the robotic group, with no cases reported, compared to four cases in the open group (<i>p</i> = 0.096). Drain removal time was shorter in the RAVEIL group (12.53 vs. 17.10&#xa0;days, NS). Lymph node retrieval and histopathological results were comparable between the groups. One recurrence was noted at a median follow-up of 15&#xa0;months in each group.</p> Conclusion <p>RAVEIL offers a promising alternative to OILND in vulvar cancer, with reduced postoperative complications and comparable oncological outcomes.</p>

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A Comparison of Clinical and Oncological Outcomes of Robotic Versus Open Inguinal Lymph Node Dissection for Vulvar Cancer

  • 期刊论文

  • 发表日期：

    2025年8月17日

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  • Swati Shah,
  • Harsh Shah

摘要

Introduction

Vulvar cancer often presents late due to stigma, with open inguinal lymph node dissection (OILND) being effective but highly morbid. Advanced techniques like sentinel lymph node biopsy and video endoscopic inguinal lymph node dissection (VEIL) reduce morbidity but face limitations. Robotic-assisted VEIL (RAVEIL) shows promise in reducing complications and is well established in penile cancers but is relatively less reported in vulvar cancer. This study compares RAVEIL and OILND outcomes in vulvar cancer.

Patients & Methods

A retrospective analysis was conducted on patients who underwent RAVEIL or OILND for vulvar cancer between January 2021 and March 2024. Data were collected on patient characteristics, surgical details, postoperative outcomes, and histopathological findings. Statistical analysis was performed using SPSS Version 22, with significance set at p < 0.05.

Results

Twenty-four RAVEIL and thirty OILND were done in 12 & 15 vulvar cancer patients, respectively. There were no statistically significant differences in patient demographics, comorbidities, or surgical parameters between the groups. The mean surgery duration was 74.76 min for RAVEIL and 60.65 min for OILND (NS). Wound infections were significantly lower in the robotic group, with no cases reported, compared to four cases in the open group (p = 0.096). Drain removal time was shorter in the RAVEIL group (12.53 vs. 17.10 days, NS). Lymph node retrieval and histopathological results were comparable between the groups. One recurrence was noted at a median follow-up of 15 months in each group.

Conclusion

RAVEIL offers a promising alternative to OILND in vulvar cancer, with reduced postoperative complications and comparable oncological outcomes.