Radical hemiscrotectomy and en bloc orchidectomy: surgical technique and perioperative and oncologic outcomes of a supra-regional UK referral centre
AuthorsFankhauser, Christian D
Parnham, Arie S
Oates, Jeremy E
Sangar, Vijay K
Clarke, Noel W
AffiliationDepartment of Urology, The Christie NHS Foundation Trusts, Manchester, UK. firstname.lastname@example.org. Department of Urology, The Christie NHS Foundation Trusts, Manchester, UK. Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester, UK. Department of Oncology, Hematology and Bone Marrow Transplantation with Division of Pneumology, University Medical Center Eppendorf, Hamburg, Germany. Manchester University NHS Foundation Trust, Manchester, UK. Manchester Academic Health Sciences Centre, Manchester, UK. University of Manchester, Manchester, UK. The Salford Royal NHS Foundation Trust, Manchester, UK.
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AbstractBackground and purpose: Hemiscrotectomy with en bloc orchidectomy represents a radical primary, completion, or salvage option in men with inguinoscrotal cancers. We describe our surgical technique and peri-operative and oncological outcomes. Patients and methods: Retrospective cohort study of 16 men treated at a supra-regional referral centre with open radical hemiscrotectomy with or without en bloc orchidectomy between 2010 and 2020. Peri-operative and survival outcomes were analysed. Results: Radical hemiscrotectomy with or without en bloc orchidectomy was performed on 16 patients comprising 7 well-differentiated liposarcomas, 4 dedifferentiated liposarcomas, 2 leiomyosarcomas, 1 mesothelioma, 1 rhabdomyosarcoma and 1 mammary type myofibroblastoma. Primary hemiscrotectomy was performed in four, completion hemiscrotectomy in nine and salvage hemiscrotectomy in three. The median hospital stay was 2 days [interquartile range (IQR) 2-4]. Four patients (25%) had post-operative complications including wound infection or haematoma. During a median follow-up of 18 months (IQR 2-66), one patient (6%) died following a recurrence in the pelvis and retroperitoneum. Discussion: and Conclusions If careful dissection is performed, radical hemiscrotectomy and en bloc orchidectomy is a radical but safe procedure with a short hospital stay. Haematoma and infection represent the main complications, and within limited follow-up most men showed no recurrence.
CitationFankhauser CD, Issa A, Lee EWC, Oing C, Oliveira P, Parnham A, et al. Radical Hemiscrotectomy and En Bloc Orchidectomy: Surgical Technique and Perioperative and Oncologic Outcomes of a Supra-Regional UK Referral Centre. Ann Surg Oncol. 2021 Jul 16.
JournalAnnals of Surgical Oncology
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