Abstract
Combined superficial inguinal and pelvic lymph node dissection (CLND) is performed for various skin cancers of the lower extremities, or the genital region. This operation is associated with frequent complications including skin necrosis, wound infection, and edema. Several techniques have been described in order to avoid those complications. We presented three cases of CLND. Complications included skin necrosis (2 [67%] of 3 patients), edema (2 [67%] patients), ventral hernia (1 [33%] patient) . Wound infection, lymph fistula, and ileus did not occur in any of the patients. We describe herein techniques of pelvic lymph node dissection we performed, and discuss approaches to the retroperitoneal space, skin incision, abdominal wall incision, and treatment of inguinal ligament. [Skin Cancer (Japan) 2006; 21: 206-210]
