Cancer - Bladder, Pelvis, Ureter & Others(비디오) (V-003) 임상적 N2 음경암 환자에서 근치적 로봇 보조 서혜부 임파선 절제술의 증례 보고 ¹부산대학교병원 김태남¹, 오지은¹, 강병진¹, 이정주¹ Introduction: Lymph node metastasis is a crucial prognostic factor for survival in patients with penile cancer. Radical inguinal lymphadenectomy should be performed for pathologically confirmed or palpable enlarged inguinal lymph nodes. Open approach has been the gold standard treatment but carries a significant morbidity up to 50%. Minimally-invasive surgeries have been reported to significantly reduce peri-operative morbidity. Here, we report a case of penile cancer with involvement of both inguinal lymph nodes, which was treated with robotic-assisted radical inguinal and pelvic lymphadenectomy (RAIPL) Case Presentation: A 60-year-old man visited our hospital with 3-months history of painful ulcerative mass in glans of penis. Medical history and BMI were unremarkable. He was an ex-smoker with a 14 pack-year history. The pathology from his partial penectomy reported stage T3 moderate differentiated squamous cell carcinoma. 2-months postoperatively, the patient presented palpable inguinal mass and a subsequent magnetic resonance imaging revealed both inguinal lymph node metastasis. We suggested the patient should undergo surgical treatment but he refused any type of surgery. Then the patient was referred to hemato-onology for receiving a chemotherapy. After four courses of paclitaxel, ifosfamide, and cisplatin therapy, the size of metastatic inguinal lymph nodes increased. After in-depth discussion, we decided to perform bilateral RAIPL. The da VinciⓇ Xi was used and the boundaries of the RAIPL were similar to those of open surgery. The indwelling drains in pelvic cavity and inguinal area were removed 31 days and 56 days after surgery, respectively. Postoperative complications included leg edema not interfering with ambulation and lymphocele managed by drain placement in inguinal area. Six months postoperatively, he remains without evidence of disease recurrence. keywords : Lymph node excision, penile neoplasms, laparoscopy