Surgical Film Library-Approach to Robotic Para-aortic lymphadencetomy

Video Transcription

Video Summary

Dr. Arunabh Roy presents eight detailed steps for comprehensive periodic lymphadenectomy, indicated for staging high-risk gynecological cancers and tailored treatments. The procedure targets level 2 and 3 lymph nodes between the common iliac artery and left renal vein, with defined anatomical boundaries. Key steps include careful port placement, omentum and bowel management, peritoneal incisions, ureter lateralization, node dissection around major vessels, and meticulous clip application to prevent lymphatic complications. Surgeons are advised to understand anatomy thoroughly, prepare patients properly, master open surgery first, proceed cautiously, and prioritize patient safety, converting to open surgery if necessary during complications.

Asset Subtitle

Arunava Roy, India

Meta Tag

Procedure Type Para-aortic lymphadenectomy

Route MIS-Robotic

Skill Level Expert

Surgical Location Mid-abdomen

Keywords

MIS-Robotic

Mid-abdomen

Expert

Para-aortic lymphadenectomy

periodic lymphadenectomy

gynecological cancer staging

lymph node dissection

surgical anatomy

patient safety in surgery