Inguinal Lymphadenectomy (LEG Procedure) - Endoscopy

This material presents an endoscopic groin lymphadenectomy (LEG procedure). Inguinal lymphadenectomy, or groin dissection, has a key role in the management of patients with penile, vulval, anal, and cutaneous malignancy. Video endoscopic inguinal lymphadenectomy VEIL is a minimally invasive resection of inguinal lymph nodes. The VEIL technique is feasible and allows the radical removal of inguinal lymph nodes at the same dissection template as conventional surgery. The main anatomic repairs of open surgery can be identified in an endoscopic view, confirming the complete removal of the lymphatic tissue within the pre-established limits. Preliminary results with this new endoscopic approach for inguinal lymphadenectomy are promising, with potential to reduce morbidity. It seems not to change expected oncologic results with the conventional technique, but the follow-up is still short for definite conclusions.