title: Video endoscopic inguinal lymphadenectomy: surgical and oncological results.
abstract: BACKGROUND
  We evaluated the reproducibility of video endoscopic inguinal lymphadenectomy (VEIL) and we report our initial experience in the treatment of penile cancer with palpable inguinal lymph nodes.
  
  
  METHODS
  From July 2006 to November 2010 were conducted 33 VEIL in 20 patients as complementary treatment for penile cancer in two referral hospitals in Latin America. We analyzed the epidemiological and clinical characteristics of patients and surgical and oncologic outcomes.
  
  
  RESULTS
  Fifty-five percent of the patients included were clinical stage N0 and 45% were N +. Thirteen patients underwent bilateral VEIL and the remaining seven underwent VEIL unilateral and conventional open surgery in the contralateral limb. The average operative time for VEIL was 119 minutes and mean resected lymph nodes was 8 per lymphadenectomy. The overall complication rate was 33.2%. No patient had skin necrosis. The lymphatic complication rate was 27.2%. Of the 6 cases in which the saphenous vein was preserved (18.2%) there were no lymphatic complications (P=,2). The overall survival rate was 80% and cancer-specific survival was 90%. Mean follow-up was 20 months.
  
  
  CONCLUSIONS
  VEIL in the adjunctive treatment of penile cancer is safe, reproducible and may be an alternative to conventional lymphadenectomy. Patients with palpable lymphadenopathy also may benefit from this technique. Oncological results seem to be adequate however require longer follow-up to be confirmed.
authors: Servicio de Urología, Hospital Alberto Cavalcanti, Belo Horizonte, Brasil.
authors: P
authors: P
authors: Romanelli
authors: R
authors: R
authors: Nishimoto
authors: R
authors: R
authors: Suarez
authors: R
authors: R
authors: Decia
authors: D
authors: D
authors: Abreu
authors: M
authors: M
authors: Machado
authors: C
authors: C
authors: Arroyo
authors: H
authors: H
authors: Campolo
authors: E
authors: E
authors: Campos
authors: A S
authors: AS
authors: Carlos
authors: M
authors: M
authors: Tobias-Machado
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery; D002481:Cellulitis / Q000453:epidemiology / Q000209:etiology; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007264:Inguinal Canal; D008026:Ligation; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008210:Lymphocele / Q000453:epidemiology / Q000209:etiology; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010412:Penile Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000601:surgery; D063728:Secondary Care Centers; D015996:Survival Rate; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000379:methods*