ABSTRACT
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. The patient was presented to and managed in the Oncology Center, Mansoura University, Egypt. RESULTS: The patient had an uneventful postoperative course with better outcome than open surgery. CONCLUSIONS: Incorporation of minimally invasive approaches such as laparoscopy and VEIL in the management of inguinal nodal metastasis from rectal cancer can have a great impact on the patient's quality of life without affecting the oncologic outcome.