{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:07:20Z","timestamp":1792271240127,"version":"4.4.0"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>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\u2019s \u03b1.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjsopen\/zrae056","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T02:22:42Z","timestamp":1720664562000},"source":"Crossref","is-referenced-by-count":14,"title":["Complications and adverse events in lymphadenectomy of the inguinal area: worldwide expert consensus"],"prefix":"10.1093","volume":"8","author":[{"given":"Ren\u00e9","family":"Sotelo","sequence":"first","affiliation":[{"name":"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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9320-2987","authenticated-orcid":false,"given":"Aref S","family":"Sayegh","sequence":"additional","affiliation":[{"name":"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"},{"name":"Department of Surgery, MedStar Franklin Square Medical Center , Baltimore, Maryland , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis G","family":"Medina","sequence":"additional","affiliation":[{"name":"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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura C","family":"Perez","sequence":"additional","affiliation":[{"name":"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"},{"name":"Department of Surgery, Johns Hopkins University School of Medicine , Baltimore, Maryland , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anibal","family":"La Riva","sequence":"additional","affiliation":[{"name":"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"},{"name":"Department of General Surgery, Digestive Disease & Surgery Institute, Cleveland Clinic Foundation , Cleveland, Ohio , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael B","family":"Eppler","sequence":"additional","affiliation":[{"name":"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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Gaona","sequence":"additional","affiliation":[{"name":"Universidad de Santander, Instituto Urome\u0301dica , Bucaramanga , Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos","family":"Tobias-Machado","sequence":"additional","affiliation":[{"name":"Department of Urology, Instituto do C\u00e2ncer Arnaldo Vieira de Carvalho , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe E","family":"Spiess","sequence":"additional","affiliation":[{"name":"Department of Genitourinary Oncology and Tumor Biology, Moffitt Cancer Center , Tampa, Florida , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curtis A","family":"Pettaway","sequence":"additional","affiliation":[{"name":"The University of Texas, M.D. Anderson Cancer Center , Houston, Texas , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Carlos","family":"Lima Pompeo","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculdade de Medicina do ABC , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo Aloisio","family":"Lima Mattos","sequence":"additional","affiliation":[{"name":"Department of Urology, Associa\u00e7\u00e3o Piauiense de Combate ao C\u00e2ncer , Teresina, Piau\u00ed , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy G","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Urology, Providence St. John\u2019s Cancer Institute , Santa Monica, California , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo M","family":"Villoldo","sequence":"additional","affiliation":[{"name":"Department of Urology, Instituto Alexander Fleming , Buenos Aires , Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3373-3668","authenticated-orcid":false,"given":"Eric","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Urology, Princess Alexandra Hospital, University of Queensland , Brisbane, Queensland , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Samaniego","sequence":"additional","affiliation":[{"name":"Department of Urology, Servicio de Urolog\u00eda del Hospital Central del Instituto de Previsi\u00f3n Social , Asunci\u00f3n , Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Augusto","family":"Ornellas","sequence":"additional","affiliation":[{"name":"Departamento de Urologia, Instituto Nacional do C\u00e2ncer do Brasil (INCA) , Rio de Janeiro , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Department of Urology, AC Camargo Cancer Center , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Eder S","family":"Braz\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Urology, AC Camargo Cancer Center , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Subira-Rios","sequence":"additional","affiliation":[{"name":"Department of Urology, Gregorio Mara\u00f1on Universitary Hospital , Madrid , 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