Videoendoscopic Minimally Invasive Inguinal Lymphadenectomy: an Alternative to Open Inguinal Lymphadenectomy with fwer Complications

Abstract

Radical inguinal lymphadenectomy is a standardised operation, which is exhibits high morbidity of up to 77%. These complications often lead to a delay in the planned adjuvant therapy. The objective of this video is to present videoendoscopic inguinal lymphadenectomy (VEIL), which seems to show less morbidity. There is no difference between the indications for open lymphadenectomy and VEIL. Prior excision of a sentinel lymph node is not a contraindication. After blunt dissection of the subcutaneous tissue with exposure of Scarpa's fascia, 3 - 4 ports are placed in the preformed space. The femoral lymph nodes are dissected under insufflation of CO2 and the tissue is removed in a retrieval bag. Several studies have shown that VEIL offers a good alternative to open lymphadenectomy, with fewer complications, particularly with respect to wound healing.