Imperial College London
Alternate

DrBenjaminLamb

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Research Fellow
 
 
 
//

Contact

 

benjamin.lamb

 
 
//

Location

 

Medical SchoolSt Mary's Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Roshan:2024:10.1245/s10434-023-14834-0,
author = {Roshan, A and Shah, B and Anderson, KD and Murphy, S and Thomas, B and McPhee, AS and Lamb, BW and Durrani, AJ and Patel, AJK},
doi = {10.1245/s10434-023-14834-0},
journal = {Ann Surg Oncol},
pages = {2727--2736},
title = {Robot-Assisted Pelvic Dissection for Enlarged Lymph Nodes in Melanoma Improves Recovery with Equivalent Oncological Outcomes to Open Pelvic Dissection.},
url = {http://dx.doi.org/10.1245/s10434-023-14834-0},
volume = {31},
year = {2024}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Robot-assisted pelvic lymph node dissection (rPLND) has been reported in heterogenous groups of patients with melanoma, including macroscopic or at-high-risk-for microscopic metastasis. With changing indications for surgery in melanoma, and availability of effective systemic therapies, pelvic dissection is now performed for clinically detected bulky lymph node metastasis followed by adjuvant drug therapy. rPLND has not been compared with open pelvic lymph node dissection (oPLND) for modern practice. METHODS: All patients undergoing pelvic node dissection for macroscopic melanoma at a single institution were reviewed as a cohort, observational study. RESULTS: Twenty-two pelvic lymph node dissections were identified (8 oPLND; 14 rPLND). The number of pelvic lymph nodes removed was similar (median oPLND 6.5 (interquartile range [IQR] 6.0-12.5] versus rPLND 6.0 [3.75-9.0]), with frequent matted nodes (11/22, 50.0%). Operative time (median oPLND 130 min [IQR 95.5-182] versus rPLND 126 min [IQR 97.8-160]) and complications (Clavien-Dindo scale) were similar. Length of hospital stay (median 5.34 days (IQR 3.77-6.94) versus 1.98 days (IQR 1.39-3.50) and time to postoperative adjuvant therapy (median 11.6 weeks [IQR 10.6-18.5] versus 7.71 weeks [IQR 6.29-10.4]) were shorter in the rPLND group. No differences in pelvic lymph node recurrence (p = 0.984), distant metastatic recurrence (p = 0.678), or melanoma-specific survival (p = 0.655) were seen (median follow-up 21.1 months [rPLND] and 25.7 months [oPLND]). CONCLUSIONS: rPLND is an effective way to remove bulky pelvic lymph nodes in melanoma, with a shorter recovery and reduced interval to initiating adjuvant therapy compared with oPLND. This group of patients may especially benefit from neoadjuvant systemic approaches to management.
AU  - Roshan,A
AU  - Shah,B
AU  - Anderson,KD
AU  - Murphy,S
AU  - Thomas,B
AU  - McPhee,AS
AU  - Lamb,BW
AU  - Durrani,AJ
AU  - Patel,AJK
DO  - 10.1245/s10434-023-14834-0
EP  - 2736
PY  - 2024///
SP  - 2727
TI  - Robot-Assisted Pelvic Dissection for Enlarged Lymph Nodes in Melanoma Improves Recovery with Equivalent Oncological Outcomes to Open Pelvic Dissection.
T2  - Ann Surg Oncol
UR  - http://dx.doi.org/10.1245/s10434-023-14834-0
UR  - https://www.ncbi.nlm.nih.gov/pubmed/38177461
VL  - 31
ER  -
Download