OBJECTIVE: 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. INDICATION: There is no difference between the indications for open lymphadenectomy and VEIL. Prior excision of a sentinel lymph node is not a contraindication. METHOD: 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. CONCLUSION: Several studies have shown that VEIL offers a good alternative to open lymphadenectomy, with fewer complications, particularly with respect to wound healing. Georg Thieme Verlag KG Stuttgart · New York.
OBJECTIVE: 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. INDICATION: There is no difference between the indications for open lymphadenectomy and VEIL. Prior excision of a sentinel lymph node is not a contraindication. METHOD: 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. CONCLUSION: Several studies have shown that VEIL offers a good alternative to open lymphadenectomy, with fewer complications, particularly with respect to wound healing. Georg Thieme Verlag KG Stuttgart · New York.