{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:39:44Z","timestamp":1792640384676,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,8,16]],"date-time":"2014-08-16T00:00:00Z","timestamp":1408147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2015,4]]},"abstract":"\n Objective<\/jats:title>\n \n To prospectively study the surgical strategies and clinical efficacy of laparoendoscopic single\u2010site (\n LESS<\/jats:styled-content>\n ) inguinal lymphadenectomy compared with conventional endoscopic inguinal lymphadenectomy for the management of inguinal nodes.\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n A total of 12 patients with squamous cell carcinoma of the penis who underwent penectomy between\n F<\/jats:styled-content>\n ebruary and\n J<\/jats:styled-content>\n uly 2013 were enrolled in the study. All 12 patients underwent bilateral inguinal lymphadenectomy (\n LESS<\/jats:styled-content>\n inguinal lymphadenectomy in one limb and conventional endoscopic inguinal lymphadenectomy in the other) with preservation of the saphenous vein. All lymphatic tissue in the boundaries of the adductor longus muscle (medially), the sartorius muscle (laterally), 2\u2009cm above the inguinal ligament (superiorly), the Scarpa fascia (superficially) and femoral vessels (deeply) was removed in both surgical techniques. All 24 procedures were performed by one experienced surgeon.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n All 24 procedures (12\n LESS<\/jats:styled-content>\n and 12 conventional endoscopic inguinal lymphadenectomies) were completed successfully without conversion to open surgery. For\n LESS<\/jats:styled-content>\n inguinal lymphadenectomy and conventional endoscopic inguinal lymphadenectomy groups, the mean \u00b1\n sd<\/jats:sc>\n operating time was 94.6 \u00b1 14.8\u2009min and 90.8 \u00b1 10.6\u2009min, respectively (\n P<\/jats:italic>\n = 0.145). No significant differences in the incidence of postoperative complications (skin\u2010related problems, hecatomb, lower extremity oedema, lymphatic complications and overall complications) were noted between the two groups (\n P<\/jats:italic>\n > 0.05). No lower extremity oedema occurred in any limbs of the two groups. No significant differences were observed in either lymph node clearance rate or detection rate of histologically positive lymph nodes (\n P<\/jats:italic>\n > 0.05). The patient satisfaction rate with scar appearance and cosmetic results was significantly better in the\n LESS<\/jats:styled-content>\n inguinal lymphadenectomy group than in the conventional endoscopic inguinal lymphadenectomy group of (75 vs 25%;\n P<\/jats:italic>\n = 0.039).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n This preliminary study suggests that both\n LESS<\/jats:styled-content>\n inguinal lymphadenectomy and conventional endoscopic inguinal lymphadenectomy are safe and feasible procedures for inguinal lymphadenectomy. Preservation of the saphenous vein during\n LESS<\/jats:styled-content>\n inguinal lymphadenectomy\/conventional endoscopic inguinal lymphadenectomy can effectively reduce the incidence of postoperative lower extremity oedema.\n LESS<\/jats:styled-content>\n inguinal lymphadenectomy seems to provide better cosmetic results than conventional endoscopic inguinal lymphadenectomy.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12838","type":"journal-article","created":{"date-parts":[[2014,6,20]],"date-time":"2014-06-20T07:52:17Z","timestamp":1403250737000},"page":"613-618","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Preservation of the saphenous vein during laparoendoscopic single\u2010site inguinal lymphadenectomy: comparison with the conventional laparoscopic technique"],"prefix":"10.1111","volume":"115","author":[{"given":"Jun\u2010Bin","family":"Yuan","sequence":"first","affiliation":[{"name":"Department of Urology Xiangya Hospital Central South University Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min\u2010Feng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology Xiangya Hospital Central South University Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Urology Xiangya Hospital Central South University Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology Xiangya Hospital Central South University Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang\u2010Le","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology Xiangya Hospital Central South University Changsha 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