Surgical Film Library-Extraperitoneal para-aortic lympadenectomy

Video Transcription

Video Summary

Paulo Zanvetor presents on laparoscopic extraperitoneal lymph node staging in cervical cancer, emphasizing its importance for accurate metastasis detection. Imaging methods like PET, tomography, and MRI show variable sensitivity, with PET false-negative rates for retroperitoneal metastases influenced by pelvic lymph node status. He shares institutional data comparing retroperitoneal metastases frequency in 2011 and 2018, noting consistent detection rates around 21-24%. The video demonstrates laparoscopic dissection technique, highlighting anatomical landmarks, nerve preservation, and vessel ligation to minimize bleeding. Maneuvers to elevate major vessels for thorough lymphadenectomy are shown, stressing the need for vascular precautions during this complex procedure.

Asset Subtitle

Paulo Zanvettor, Brazil

Meta Tag

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

Expert

laparoscopic extraperitoneal lymph node staging

cervical cancer metastasis detection

PET imaging sensitivity

retroperitoneal lymphadenectomy technique

vascular precautions in lymphadenectomy

Paulo Zanvettor