Feasibility and Safety of Video Endoscopic Inguinal Lymphadenectomy in XXXX : A Systematic Review.

@entity1 @entity5 @entity190 @entity4269 @entity1600 @entity2737 @entity130
OBJECTIVE: To systematically review previous studies and to evaluate the feasibility and safety of video endoscopic inguinal lymphadenectomy (VEIL) in @entity5 . METHODS: We conducted a comprehensive review of studies published through September 2014 to retrieve all relevant articles. The PubMed, EMBASE, Web of Science, Cochrane Library, Wan Fang Data and Chinese National Knowledge Infrastructure databases were systematically searched for all relevant studies published in English or Chinese through September 2014. Data were abstracted independently by two reviewers, and any differences were resolved by consensus. RESULTS: A total of 9 studies containing 249 VEIL procedures involving 138 @entity1 were reviewed. Of the 249 VEIL procedures, only 1 (0.4%) was converted to an open procedure for suturing because of @entity130 . The range of operative time was 62 to 110 minutes, and the range of estimated @entity190 was 5.5 to 22 ml. The range of the number of harvested lymph nodes was 7.3 to 16. The length of hospital stay varied from 7 to 13.6 days across reports. The incidence of @entity1600 was 19.7% (27/138), and the recurrence rate was 4.3% (3/70) within 3 to 41 months of follow-up. One or more short-term complications were documented in 18 of 138 (13.0%) @entity1 . Complications after VEIL were observed in 14 (10.13%) @entity1 and in 15 (6.0%) of the VEIL cases, including major lymphocyst formation in 9 (3.6%), lymphorrhea in 2 (0.8%), @entity2737 without wound breakdown in 3 (1.2%) and @entity4269 in 1 (0.4%). CONCLUSIONS: VEIL appears to be a feasible procedure in the management of @entity5 . There may be potential benefits that result in lower morbidity compared to traditional methods, but this has yet to be objectively proven.
