Surgical Film Library-Fertility Preserving Robotic Radical Trachelectomy in a 16year-old Patient With Cervical Embryonal Rhabdomyosarcoma

Fertility Preserving Robotic Radical Trachelectomy in a 16year-old Patient With Cervical Embryonal Rhabdomyosarcoma

Video Transcription

Video Summary

A 16-year-old with stage 1b1 cervical embryonal rhabdomyosarcoma underwent extensive pelvic surgery. Surgeons inspected for metastasis, identified, and dissected bilateral iliac sentinel lymph nodes using endocyanin green. Careful dissection preserved ureters and arteries. The bladder flap and uterosacral ligaments were mobilized, allowing circumferential vaginotomy two centimeters from the cervix. The cervix and adjacent tissues were resected, with negative frozen sections confirming clear margins. Reconstruction included re-approximating the vagina to the uterus, ensuring patency of the internal os, and placing an abdominal cerclage. The procedure restored normal pelvic anatomy with excellent organ perfusion.

Asset Subtitle

Javier Mejia-Gomez, Canada

Meta Tag

Procedure Type Radical Trachelectomy

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Radical Trachelectomy

cervical embryonal rhabdomyosarcoma

pelvic surgery

sentinel lymph node dissection

vaginotomy

abdominal cerclage

Javier Mejia-Gomez