title: Endoscopic inguinal lymphadenectomy in penile cancer: case report and literature review.
abstract: OBJECTIVE
  The objective was to submit our first experience in endoscopic inguinal lymphadenectomy (EIL), evaluate the feasibility of the procedure and carry out a review of the literature.
  
  
  METHODS
  A 41-year-old patient was diagnosed with penile cancer with squamous cell carcinoma pT2G1 pathology, with no palpable inguinal lymph nodes. A bilateral inguinal lymphadenectomy was performed with preservation of the saphenous vein, conventional left and endoscopic right procedures. The perioperative data is presented and that obtained is discussed in the literature.
  
  
  RESULTS
  The total time was 270 minutes, 180 for endoscopic and 90 for conventional procedures. Blood loss was minimal in both cases. Fifteen lymph nodes were dissected on the endoscopic side, and 17 in the conventional side, the latter with more pain and devitalised skin flap.
  
  
  CONCLUSIONS
  EIL for penile cancer is feasible and there is less morbidity with an early recovery. The literature is not conclusive on the indication of EIL.
authors.affiliation: Department of Oncological Urology, Regional Institute of Neoplastic Diseases, Trujillo, 13007, Peru ; Private Antenor Orrego University, Faculty of Medicine, Trujillo, 13007, Peru.
authors.forename: Juan Carlos Pérez
authors.initials: JC
authors.lastname: Astigueta
authors.affiliation: Department of Oncological Pathology, Regional Institute of Neoplastic Diseases, Trujillo, 13007, Peru.
authors.forename: Milagros
authors.initials: M
authors.lastname: Abad-Licham
authors.affiliation: Department of Oncological Urology, Regional Institute of Neoplastic Diseases, Trujillo, 13007, Peru.
authors.forename: Eloy
authors.initials: E
authors.lastname: Silva
authors.affiliation: Department of Oncological Urology, Regional Institute of Neoplastic Diseases, Trujillo, 13007, Peru.
authors.forename: Edgar
authors.initials: E
authors.lastname: Yan
authors.affiliation: Department of Oncological Urology, Regional Institute of Neoplastic Diseases, Trujillo, 13007, Peru.
authors.forename: Hugo
authors.initials: H
authors.lastname: Álvarez
authors.affiliation: Department of Oncological Urology, Regional Institute of Neoplastic Diseases, Trujillo, 13007, Peru.
authors.forename: Folker
authors.initials: F
authors.lastname: Agreda
authors.affiliation: Department of Oncological Pathology, Regional Institute of Neoplastic Diseases, Trujillo, 13007, Peru.
authors.forename: Mariela
authors.initials: M
authors.lastname: Pow-Sang
keywords: endoscopy; inguinal lymphadenectomy; penile cancer