Advanced Cytoreduction Cadaveric Surgical Course Montreal 2026-Retroperitoneal vascular complications

Retroperitoneal vascular complications - Vascular repair

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Video Summary

Major vascular injury during minimally invasive lymphadenectomy is rare but potentially serious. Risk factors include high BMI, prior radiation or chemotherapy, and bulky nodes. If bleeding occurs, identify the injury, alert the team, briefly increase insufflation, maintain visualization, and apply direct pressure—never blindly grasp or use energy on major vessels. Tailor repair to the injury; arterial damage beyond a tiny puncture generally warrants open conversion and vascular-surgeon involvement. Convert promptly for instability, poor visualization, ongoing arterial bleeding, or uncontrolled injury. Key principles: dissect with tension rather than traction, compress before suturing, prepare repair equipment in advance, and prioritize patient safety over preserving the minimally invasive approach.

Asset Subtitle

Fernando Heredia

Keywords

major vascular injury

minimally invasive lymphadenectomy

bleeding control

open conversion

vascular surgeon