Open inguinal lymphadenectomy is a necessary conventional management for the lower genitourinary malignancies,but the associated morbidity remains an issue for the conventional surgical approach.Video endoscopic inguinal lymphadenectomy via the limb subcutaneous approach (VEIL-L) has recently been reported as a potentially less invasive altative to the open inguinal lymphadenectomy for patients with some genitourinary malignancies.1-4 The concept of VEIL-L was first described by the French gynecologists.1-2 Since then,this procedure has undergone a few technical changes.The triangular working space can be obtained by introducing the laparoscopic instruments through three1,2,4 or a single working port3 in the limbs.Thus,laparoscopic pelvic lymphadenectomy (LPL) had to be performed with three or more abdominal working ports if the frozen section revealed positive deep inguinal nodes.To avoid the need to operate both through the limb and the abdomen in this situation,a new approach described in this paper should resolve the issue of the number of access routes with the possible better reduction of infection and morbidity from wound breakdown.