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Updated: Dec 14, 2025
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Intravital Microscopy of the Inguinal Lymph Node
Published on: April 4, 2011
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Minimally invasive inguinal lymph node dissection: initial experience and reproducibility in a limited resource
Hisham Abdel Mageed1, Ihab Saad2, Ahmed Mostafa2
1Surgical Oncology Department, National Cancer Institute, Cairo University, 27A Baghdad St. Heliopolis, Cairo, Egypt. Hisham.motaal@gmail.com.
Surgical Endoscopy
|July 19, 2020
Summary
Minimally invasive lymph node dissection (MILND) offers a safe and feasible approach to lymphadenectomy, even in resource-limited settings. This endoscopic technique shows promise in reducing wound complications compared to traditional methods.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Endoscopic Techniques
Background:
- Conventional inguinal lymph node dissection has high complication rates, increasing hospital stay and delaying adjuvant treatment.
- Minimally invasive lymph node dissection (MILND) is an endoscopic technique designed to reduce lymphadenectomy complications.
Purpose of the Study:
- To present the technique and evaluate the safety, feasibility, and reproducibility of MILND.
- To assess MILND in a setting with limited resources.
Main Methods:
- Prospective inclusion of patients undergoing MILND at the National Cancer Institute, Cairo.
- Recording of demographics, clinical and pathological data, and postoperative complications (Clavien-Dindo classification).
- Creation of a step-by-step video demonstrating the MILND technique.
Main Results:
- Twenty-seven procedures were analyzed, with vulval cancer and skin melanoma as primary indications.
- Conversion to open procedure occurred in 5 cases (18%), primarily during the initial learning curve.
- Postoperative complications included wound dehiscence (15%), seroma/wound infection (34%), with a median hospital stay of 2 days and no grade III/IV lymphedema at 90 days.
Conclusions:
- MILND is a safe and feasible surgical technique.
- The procedure is associated with relatively low postoperative wound complications.
- MILND demonstrates effectiveness even in resource-limited environments.
