A Totally Laparoendoscopic Approach for Low Rectal Cancer with Inguinal Nodal Metastasis.

Background And Aims: Isolated inguinal nodal metastasis from rectal cancer is rare with better oncological outcome in case of surgical resection.

Methods: We report a rectal cancer case with inguinal nodal metastasis that was operated using a totally endoscopic approach. Laparoscopic intersphincteric resection was done for rectal cancer and video endoscopic inguinal lymphadenectomy (VEIL) for inguinal lymph nodes.