Inguinal lymph node status is the single most important prognostic factor for survival in patients with carcinoma penis. Various modifications and alternatives to open inguinal lymph node dissection have been developed as the same is associated with high postoperative morbidity such as wound infection, skin flap necrosis, lymphorrhea, and lymphedema. Robot-assisted video endoscopic inguinal lymph node dissection (RA-VEIL) has the potential to accomplish thorough inguinal lymph node dissection with definitively reduced postoperative morbidity. In this video, we demonstrate our technique of RA-VEIL: The fascia lata first approach and highlight our technical modifications of the conventionally described procedure.
Journal of endourology. 2022 Sep [Epub]
Sudhir Kumar Rawal, Amitabh Singh, Ashish Khanna
Division of Uro-Oncology, Department of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.