case_images: PMC3788168_01
case_images: Assistant position for the right inguinal lymphadenectomy, the robot is located at 45  contralateral to procedure.
case_images: can-7-356fig1.jpg
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case_images: figure1
case_images: The assistant stands lateral to the right leg for right-side dissection, and between the legs for the left side (Figures 1 and 2).
case_images: Assistant position for the left inguinal lymphadenectomy, the robot is located at 90  lateral to procedure.
case_images: can-7-356fig2.jpg
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case_images: figure2
case_images: The assistant stands lateral to the right leg for right-side dissection, and between the legs for the left side (Figures 1 and 2).
case_images: Right surgical procedure template. ASIS: anterior superior iliac spine.
case_images: can-7-356fig3.jpg
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case_images: figure3
case_images: These marks aid in correct trocar placement as well as delineating the extent of dissection (Figures 3 and 4).
case_images: Left surgical procedure template.
case_images: can-7-356fig4.jpg
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case_images: figure4
case_images: These marks aid in correct trocar placement as well as delineating the extent of dissection (Figures 3 and 4).
case_images: Guided finger subcutaneous creation of workspace.
case_images: can-7-356fig5.jpg
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case_images: figure5
case_images: These two primary robotic 8-mm ports are placed with finger-guided techniques, laterally and medially as shown in Figures 5 and 6.
case_images: Endoscope subcutaneous workspace creation by sweeping with the lens itself.
case_images: can-7-356fig6.jpg
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case_images: figure6
case_images: These two primary robotic 8-mm ports are placed with finger-guided techniques, laterally and medially as shown in Figures 5 and 6.
case_images: Subcutaneous surface robot vision under Scarpa's fascia flap.
case_images: can-7-356fig7.jpg
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case_images: figure7
case_images: The aim of this step is to create a superficial subcutaneous flap under Scarpa's fascia (Figure 7).
case_images: Dissection boundaries of inguinal lymphadenectomy. SV: saphenous vein; FV: femoral vein.
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case_images: figure8
case_images: The inguinal ligament is usually identified at the end of this dissection as being a transverse structure with white fibres, marking the superior limit (Figure 8). One will be able to spare the saphenous vein in most of the cases, and the small branches of the femoral artery and vein may be clipped and divided (Figure 8).
case_images: Steps for nodal dissection package, axial vision. SV: saphenous vein; FV: femoral vein; FA: femoral artery; N: nerve.
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case_images: figure9
case_images: At this point, the superficial and deep planes of dissection join and separate the package from the inguinal ligament (Figures 9 and 10).
case_images: Steps for nodal dissection package, lateral vision. SV: saphenous vein; FV: femoral vein.
case_images: can-7-356fig10.jpg
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case_images: figure10
case_images: At this point, the superficial and deep planes of dissection join and separate the package from the inguinal ligament (Figures 9 and 10).
case_images: Deep pelvic node dissection. SV: saphenous vein; FV: femoral vein; FA: femoral artery; N: nerve.
case_images: can-7-356fig11.jpg
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case_images: figure11
case_images: This should be continued to the level of the femoral canal and until the pectineus muscle is seen to insure complete nodal retrieval (Figure 11).
case_images: Placement of elastic compression stockings, showing drain output and Foley catheter.
case_images: can-7-356fig12.jpg
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case_images: figure12
case_images: In addition, elastic compression stockings were used since the first postoperative day until three months following surgery (Figure 12).