title: VEIL Surgical Steps.
abstract: Inguinal lymphadenectomy remains the standard of care for metastatic nodal disease in cases of penile, urethral, vulval and vaginal cancers. Outcomes, including cure rates and overall and progression-free survivals, have progressively improved in these diseases with extending criteria to offer inguinal lymph node dissection for patients 'at-risk' for metastasis or loco-regional recurrence. Hence, despite declining incidence of advanced stages of these cancers, many patients will still need to undergo lymphadenectomy for optimal oncological outcomes. Inguinal node dissection is a morbid procedure with operative morbidity noted in almost two third of the patients. Video endoscopic inguinal lymphadenectomy (VEIL) was described and currently practiced with proven equivalent oncological outcomes. We describe our technique of VEIL using laparoscopic and robotic access as well as various new surgical strategies.
authors.affiliation: Department of Uro-Oncology, HCG-Bangalore Institute of Oncology, Bangalore, India.
authors.forename: S K
authors.initials: SK
authors.lastname: Raghunath
authors.affiliation: Department of Uro-Oncology, HCG-Bangalore Institute of Oncology, Bangalore, India.
authors.forename: H
authors.initials: H
authors.lastname: Nagaraja
authors.affiliation: Department of Uro-Oncology, HCG-Bangalore Institute of Oncology, Bangalore, India.
authors.forename: N
authors.initials: N
authors.lastname: Srivatsa
keywords: Endoscopic Inguinal Lymph node dissection; Inguinal Lymph node dissection in Penile Cancer; Minimal Access Inguinal Lymph node dissection; Penile Cancer; VEIL; Videoendoscopic Inguinal Lymphadenectomy