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

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...

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Bibliographic Details
Published inZentralblatt fur Chirurgie Vol. 143; no. 4; p. 348
Main Authors Dobroschke, Jakob, Groß, Tina, Weitz, Jürgen, Reißfelder, Christoph
Format Journal Article
LanguageGerman
Published Germany 01.08.2018
Subjects
Aged, 80 and over
Female
Humans
Inguinal Canal - surgery
Lymph Node Excision - methods
Postoperative Complications - prevention & control
Video-Assisted Surgery - methods
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Summary: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 CO 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.
ISSN:1438-9592