Matera is the only center in Southern Italy to use an advanced 3D laparoscopic minimally invasive approach for the removal of inguinal lymph nodes.
A young man of 40 years old from the province of Cosenza, who had been diagnosed with penile cancer affecting approximately 80% of the pendulous part, was admitted to the Urology Unit of the Madonna delle Grazie Hospital in Matera directed by Giuseppe Di Sabato, to undergo highly invasive surgery.
The total penectomy operation, as well as being significantly mutilating, would have prevented the patient from urinating in an upright position and for this reason the young man was underwent subtotal penectomy surgery associated with a reconstructive operation which allowed the lengthening of the residual penile stump, in order to preserve physiologically habitual urination and the reconstruction of a neoglans with a urethral flap.
In the last three years, an important series of cases has been totalised surgical treatment of this rare type of tumor (incidence approximately 1 case per 100,000 inhabitants).
Affirms the Extraordinary Commissioner of the ASM Maurizio Friolo:
“These data have made the Urology department a point of reference for the treatment of this type of tumor, being the only center in southern Italy to use an advanced 3D laparoscopic minimally invasive approach for the removal of inguinal lymph nodes, which allows us to avoid surgical inguinal cut and to significantly reduce the complications related to the difficult healing of the wound”.
The intervention it lasted about four hours and was carried out with a continuous neuroaxial anesthesia techniquei.e. with the patient awake, to reduce potential complications related to general anesthesia and to ensure faster post-operative recovery of the patient.
The surgery was conducted by the urologists Pietro Mastrangelo, Umberto Locunto and Francesco Boezio and the anesthesia by Daniele Morgante.
The collaboration of all the staff present in the operating room was fundamental, thanks to which the various phases of this complex operation were carried out quickly and precisely.
