Abstract：
OBJECTIVES:Squamous cell carcinoma (SCC) of the penis with inguinal lymph node involvement aggravates prognosis and can cause femoral artery bleeding, hemorrhagic shock and even death. The objective of this study is to describe the use of extra-anatomical transobturator bypass graft for femoral artery involvement by metastatic carcinoma of the penis. CASUISTIC AND METHOD:Five patients with SCC and inguinal lymphatic metastasis involving the femoral vessels, who underwent extra-anatomical arterial bypass through obturator foramen between 1999 and 2007, were reviewed. The surgical technique and the postoperative outcome were described. RESULTS:After extra-anatomical transobturator bypass, all patients presented distal pulses. The mean time of surgery was 6 h. In four patients, a knitted Dacron tube was used; and in one, the contralateral devalvulated greater saphenous vein was used. Concomitantly, two patients underwent mass resection and one patient underwent node dissection 2 weeks after bypass. Two patients chose not to undergo inguinal resection, opting for palliative chemotherapy after the vascular procedure. The average follow-up period was 12 months and four patients have died-three due to pulmonary metastasis, and one due to acute myocardial infarct. No prosthetic complication was identified and no patient presented femoral bleeding. CONCLUSIONS:The use of the transobturator bypass can benefit patients presenting with penile SCC and inguinal lymph nodes metastasis involving the femoral vessels, allowing resection of extensive tumor lesions, as well as avoidance of local complications.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Ferreira U,Reis LO,Ikari LY,da Silva W Jr,Matheus WE,Denardi F,Stopiglia RM,Menezes FHdoi
10.1007/s00345-008-0282-zsubject
Has Abstractpub_date
2008-10-01 00:00:00pages
487-91issue
5eissn
0724-4983issn
1433-8726journal_volume
26pub_type
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journal_title：World journal of urology
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journal_title：World journal of urology
pub_type： 杂志文章
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pub_type： 杂志文章,随机对照试验
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journal_title：World journal of urology
pub_type： 杂志文章,评审
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journal_title：World journal of urology
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