The procedure of choice is vulvectomy with simple reconstruction or skin flap. Inguinal lymph node dissection is performed in case of affected lymph nodes (this may modify the stage, the prognosis and any further treatment).
Over the last few years, the sentinel node technique has been gaining ground. The aim is to avoid radical inguinal lymph node dissection in case rapid biopsy of the sentinel node is negative.
Laparoscopic surgery has gained popularity over the last decades as an alternative method for performing a multitude of procedures.
It is one of the heaviest procedures as it removes as much tumors as possible from the abdominal organs and the inner abdominal walls.
We have been using the DaVinci® robotic system since 2002 at Stanford University Hospital, California, long before the it became known in Europe.