Surgical Film Library-Divide-and-Resect: A Two-Piece Laparoscopic Infra-colic Omentectomy Technique

Divide-and-Resect: A Two-Piece Laparoscopic Infra-colic Omentectomy Technique

Video Transcription

Video Summary

This video demonstrates a safe, efficient laparoscopic omentectomy for advanced high-grade serous carcinoma of tubal ovarian origin. A 66-year-old woman with pelvic mass and ascites underwent neoadjuvant chemotherapy with significant tumor reduction. Interval laparoscopic cytoreductive surgery included total hysterectomy, bilateral salpingoforectomy, and omentectomy using strategic trocar placement for optimal visualization and access. The omentum was dissected medial to lateral, first left then right, allowing complete resection including upper abdomen segments. Specimens showed no residual tumor in the omentum. The patient was discharged one day post-op and resumed adjuvant chemotherapy 14 days later, highlighting minimally invasive surgery's safety and efficacy.

Asset Subtitle

Yoav Siegler, Israel

Meta Tag

Procedure Type Omentectomy

Route MIS-Laparoscopic

Skill Level Intermediate

Surgical Location Upper abdomen

Keywords

MIS-Laparoscopic

Upper abdomen

Intermediate

Omentectomy

laparoscopic omentectomy

high-grade serous carcinoma

tubal ovarian cancer

cytoreductive surgery

minimally invasive surgery