title: Modified endoscopic left inguinal lymphadenectomy.
abstract: BACKGROUND
  Endoscopic Inguinal Lymphadenectomy is an evolution of laparoscopic surgery thanks to background in these techniques. This is a new technique and the indications in the field of penile tumors today are expanding. The technique aims at reducing the morbidity of the procedure without compromising the cancer control or reducing the template of the dissection.
  
  
  METHODS
  We present the modified endoscopic inguinal lymphadenectomy in a 70 years-old male patient with penile melanoma and positive sentinel lymph node in left inguinal limb. Intraoperative data, pathology, post operatory evolution and oncological follow-up is described
  
  
  RESULTS
  Operative time was 120 min. Nine lymph nodes were retrieved and none of then showed positivity at pathology. There were no complications. The drain was kept for five days. After 12 months of follow up, no signs of disease progression were noted.
  
  
  CONCLUSIONS
  The endoscopic inguinal lymphadenectomy is feasible in clinical practice. New studies with a greater number of patients and long-term follow-up may confirm the oncological efficacy and possible lower morbidity of these new approach.
authors.affiliation: Departamento de Urología, Hospital Universitario Infanta Sofía, Madrid, España. Electronic address: malvarezmaestro@hotmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Alvarez-Maestro
authors.forename: E
authors.initials: E
authors.lastname: Rios Gonzalez
authors.forename: L
authors.initials: L
authors.lastname: Martinez-Piñeiro
authors.forename: F J
authors.initials: FJ
authors.lastname: Sanchez Gomez
mesh_terms: D000368:Aged; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007264:Inguinal Canal; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008297:Male; D008545:Melanoma / Q000556:secondary / Q000601:surgery; D010412:Penile Neoplasms / Q000473:pathology / Q000601:surgery
keywords: Linfadenectomía inguinal endoscópica modificada; Melanoma de pene; Modified endoscopic inguinal lymphadenectomy; Penile melanoma; Surgical technique; Técnica quirúrgica