Video endoscopic inguinal lymphadenectomy

abstract

Penile cancer is a rare disease at developed countries. A recent epidemiologic study shows that in some Northest states of Brazil this neoplasm can be the 2nd cause of malignant disease in men. After local invasion inguinal lymphonodes are the first place prone to dissemination. In patients with unp...

alpable nodes 20-30% already have assintomatic metastasis. When the dissemination is still at the inguinal nodes, the disease is potentially curable by radical inguinal surgery. Untreated lymphonodal disease is either an important cause of morbidity or an important predictive factor for cancer specific and overall survival.Despite of the surgical benefits of prophilatic inguinal dissection at the time of diagnosis, contemporary series shows that the extended inguinal lymphadenectomy surgical morbidity is more than 50%.In the last 20 years some alternatives were proposed attempting to reduce surgical morbidity after inguinal lymphadenectomy based on limited lymphonode templates. Although potentially less invasive, this options had some drawbacks concerning cancer control, and inguinal recurrence ranging 5-15% at the follow-up occurred in all of this techniques.Video endoscopic inguinal lymphadenectomy (VEIL) was described in clinical arena 5 years ago to duplicate the open template reducing morbidity and without compromising the oncological control .

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