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Morbidity of open inguinal lymphadenectomy (OIL) is high. We use laparoscopy for pelvic time, preservation of the greater saphenous vein and transverse inguinal incisions (laparoscopically assisted ilio-inguinal lymphadenectomy, LIIL)to improve postoperative outcomes. Retrospective comparison of 14 patients who underwent LIIL and sevenpatients who underwent OIL. Fourteen LIIL compared with seven OIL showed a statistically significant reduction in morbidity (15.3 vs 75%) and hospital stay (7 vs 15.7days). Pelvic lymph node involvement (2