Video Endoscopic Inguinal Lymphadenectomy (VEIL): Minimally Invasive Radical Inguinal Lymphadenectomy Technique

Video endoscopic inguinal lymphadenectomy for lymph node metastasis from solid tumors

“…33 In one study, after 27 months follow up, a recurrence rate of 2.4% was reported. 28 In two other studies, 28,29,37 (after a median and mean follow-up of 30.5 and 33.4 months respectively), no regional LN failure was detected.…”

“…33 The incidence of postoperative seroma ranged between 4.4 and 38.4% and only three cases (1.3%) of post-operative bleeding were reported. 29,33,37 Only one study reported data on the occurrence of post-operative lymphedema, which was detected in the 11% of cases. Hospital stay and drainage duration were extremely heterogenous, ranging from 1 to 11 days 28,29,32,34e36 and 5e28 days, 31,32,35,36 respectively.…”

“…28,29,33,37 Recurrence in regional LNs was a rare following VEIL, ranging between 0 and 6.6%, depending upon the length of follow-up. In one study, after a median follow-up of 55.3 months, a local recurrence rate of 6.6% was reported following VEIL, apparently not different from the open 29 20 33.0 15 0 Mean 120 (90e160) vs 92 (80e110) p ¼ 0.0002 Sotelo et al 30 14 87.5 15 0 60 (range 50e120) Delman et al 31 45 40.6 15e25 4.4 165 (range 75e245) Xu et al 32 17 0 10e15 0 94 (range 70e150) Schwentner et al 33 28 43.0 2e5 0 Mean 136.3 (range 87e186) vs 101,7 (range 38e195) p < 0.001 Sudhir et al 37 39 43.6 5e16 0 n.r. Zhou et al 34 11 36.4 n.r.…”

Laparoscopic and robotic video endoscopic inguinal lymphadenectomy by the lateral approach

“…Video endoscopic inguinal lymphadenectomy (VEIL) is an established technique for management of the groin in patients with carcinoma of the penis. It is a minimally invasive procedure that has been shown to have similar oncologic outcomes as open surgery, albeit with significantly less morbidity 1‐4 . The conventional port placement for VEIL is along the long axis of the femur, above the knee 3‐5 .…”

“…It is a minimally invasive procedure that has been shown to have similar oncologic outcomes as open surgery, albeit with significantly less morbidity 1‐4 . The conventional port placement for VEIL is along the long axis of the femur, above the knee 3‐5 . This position is often associated with multiple problems, specifically the camera hitting the patient's knee, sword fighting between the camera and operating instruments, and the surgeon needing to extend their right hand over the camera to reach the operating port 6‐8 .…”