Introduction/Background Techniques to improve problems encountered during robotic Inguino-femoral node dissection and prevent muscle miss during surgery

Methodology Identification of muscles in the anterior upper half of the thigh is of paramount importance for approaching femoral triangle and femoral blood vessels. Sartorius and Vastus medialis are almost in the same spot in the anterior middle third of the thigh during dissection. Problems encountered in the initial five robotic groin node dissections with regards to anatomical muscle miss were addressed by rearranging the position of the ports and bringing them closer to the tip of the femoral triangle. A 30 degree telescope helped in visualising the tip of the triangle better to remove the nodal tissue enbloc at completion of surgery.

Results Improved techniques led to easy identification of sartorius and standardization of the procedure.

Conclusion Issues and tips for improvement in surgical techniques especially in novel areas like robotic Inguino-femoral node dissection surgery are addressed.

Disclosures This surgical video was presented at IGCS Conference 2019.