Abstract
To present our novel technique for subsequent port placement during video endoscopic inguinal lymphadenectomy (VEIL) surgery. VEIL has provided positive results in terms of reduction of pain, early recovery, and better cosmesis. Ten patients who underwent VEIL procedure during 2012–2015 were included in this study to assess feasibility, safety, and advantages of port placement by our new technique which include placement of subsequent ports with the help cannula of the first port. The size of incision, time taken for port placement, leakage of pneumo, any complication(s), and potential learning curve or special instrument requirements were noted in these patients. Median incision size was 10 mm and 5 mm for their respective sized ports with this new technique. Pneumo leakage was not seen in any patient. Median time taken for subsequent port placement was 2 min ± 15 s. No complication was noted to patients or the operating surgeon. The technique proved to be feasible and needed no special equipment or training. We report technical feasibility, safety, and advantages of a new technique for port placement during VEIL surgery emphasising its potential to become a standard technique in the near future.
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Tobias-Machado M, Starling ES, Oliveira ABP, Pompeo AC, Wroclawski ER (2009) 5-Years experience with video endoscopic inguinal lymphadenectomy (VEIL): learning curve and technical variations of a new procedure. Journal of Andrological Sciences 16:25–32
Ornellas AA, Correia Seixas AL, Marota A, Wisnescky A, Campos F, Moraes JR (1994) Surgical treatment of invasive squamous cell carcinoma of the penis: retrospective analysis of 350 cases. J Urol 151:1244–1249
Catalona WJ (1988) Modified inguinal lymphadenectomy for carcinoma of the penis with preservation of saphenous veins: technique and preliminary results. J Urol 140:306–310
Tobias-Machado M, Tavares A, Molina WR Jr, Zambon JP, Medina JA, Forseto PH Jr, Juliano RV, Wroclawski ER (2006) Video endoscopic inguinal lymphadenectomy (VEIL): initial case report and comparison with open radical procedure. Arch Esp Urol 59(8):849–852
Tobias-Machado M, Tavares A, Molina WR Jr, Forseto PH Jr, Juliano RV, Wroclawski ER (2006) Video endoscopic inguinal lymphadenectomy (VEIL): minimally invasive resection of inguinal lymph nodes. Int Braz J Urol 32(3):316–321
Tobias-Machado M, Tavares A, Ribeiro Silva MN, Molina WR Jr, Forseto PH, Juliano RV, Wroclawski ER (2008) Can video endoscopic inguinal lymphadenectomy achieve a lower morbidity than open lymph node dissection in penile cancer patients? J Endourol 22(8):1687–1692
Tobias-Machado M, Tavares A, Ornellas AA, Molina WR Jr, Juliano RV, Wroclawski ER (2007) Video endoscopic inguinal lymphadenectomy: a new minimally invasive procedure for radical management of inguinal nodes in patients with penile squamous cell carcinoma. J Urol 177:953–958
Favorito LA, Nardi AC, Ronalsa M, Zequi SC, Sampaio FJ, Glina S (2008) Epidemiologic study on penile cancer in Brazil. Int Braz J Urol 34:587–591
Thyavihally Y, Tongaonkar H (2008) Video endoscopic inguinal lymphadenectomy (VEIL): our initial experience. Urology 72:S106–S107
Rawal S, Krishnappa RS, Khanna S, Sekon R, Koul R (2012) Video endoscopic inguinal lymphadenectomy (VEIL): minimally invasive radical inguinal lymphadenectomy technique video abstract, VEIL technique Indian. J Surg Oncol 3(3):257–261
Sharma P, Zargar H, Spies PE (2016) Surgical advances in inguinal lymph node dissection. Urol Clin N Am 43:457–468. https://doi.org/10.1016/j.ucl.2016.06.007
Pahwa HS, Mishra S, Kumar A, Kumar V, Agarwal A, Shrivastava R (2013) Video endoscopic inguinal lymphadenectomy (VEIL) - a prospective critical perioperative assessment of feasibility and morbidity with points of technique in penile carcinoma. World J Surg Oncol 11:42
Correa WF, Tobias-Machado M (2010) Video-endoscopic inguinal lymphadenectomy. Eur Oncol 6(2):80–84
Pompeo A, Tobias-Machado M, Molina WR, Lucio J, Sehrt D et al (2013) Extending boundaries in minimally invasive procedures with simultaneous bilateral video endoscopic inguinal lymphadenectomy (VEIL) for penile cancer: initial experience and surgical considerations. Int Braz J Urol 39:587–592
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Pahwa, H.S., Pal, A.K., Kumar, A. et al. Cannula-Assisted Port Placement during Video Endoscopic Inguinal Lymphadenectomy (VEIL)—a Novel and Safe Technique. Indian J Surg Oncol 10, 570–573 (2019). https://doi.org/10.1007/s13193-019-00902-z
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DOI: https://doi.org/10.1007/s13193-019-00902-z