الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Video endoscopic inguinal lymphadenectomy (VEIL) is a minimally invasive technique which gives superior surgical outcomes than open inguinal lymphadenectomy for treating lymph node metastasis in penile, vulvar and skin cancers. This study compared surgical outcomes obtained with two different approaches of VEIL -standard VEIL and lateral VEIL [L-VEIL], in cancer patients Patients and Methods: A prospective interventional descriptive pilot study was conducted at Surgical Unit of Oncology Centre Mansoura University (OCMU) in the period from March 2017 to June 2019. After obtaining patient consent, twenty three patients met the inclusion criteria and underwent VEIL. Eighteen patients underwent unilateral VEIL and 5 patients underwent bilateral VEIL. Reults and Discussion : The most important advantage of VEIL seems to be a decrease in skin events.The reduction of morbidity may be explained by the fulfillment of the following principles: 1- Minimal avoidance of mechanical retraction and use of electrocautery. 2- Small incisions, allowing better preservation of the skin’s blood supply and lymphatic drainage. 3- Incisions away from the great vessels, which makes a sartorius muscle flap rotation unnecessary 4- Identification of small lymphatic vessels under magnification and their control with harmonic scalpel and control of bigger branches with clips are imperative steps to minimize lymphatic leakage and lymphocele formation. Conclusion : The present study clearly outlines the fact that VEIL can deliver equivalent LN yield similar to open inguinal lymphadenectomy with significantly less morbidity. Hence, we believe that VEIL is a good alternative to conventional open inguinal lymphadenectomy. Although this approach is feasible, one of the main concerns we have to admit is that this study has most likely a too short follow up to analyze a realistic recurrence risk. More confirmatory trials with larger population size and longer duration of follow-up are warranted for confirming the findings. Future studies comparing results obtained with L-VEIL with that of conventional and central VEIL are warranted to confirm if L-VEIL approach can provide better surgical outcomes