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Surgical Film Library
LEER and LEPR: Pelvic Side Wall Recurrences
LEER and LEPR: Pelvic Side Wall Recurrences
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Video Transcription
Video Summary
This presentation covers LEA (laterally extended endopelvic resection) and LEPRA for pelvic sidewall recurrences in cervical cancer. LEA involves removal of the internal iliac vessels and obturator muscle, while LEPRA is more radical, including excision of nerves, bones, or major vessels. The speaker reviews a step-by-step surgical video of LEA on a patient with recurrent cervical cancer involving the right pelvic sidewall. Key steps include lymph node assessment, sharp dissection amidst fibrosis, isolation and ligation of internal iliac vessels, ureter mobilization, and careful nerve preservation. The specimen is removed en bloc with clear margins. LEPRA requires orthopedic and vascular reconstruction due to extensive resection. The speaker emphasizes ethical considerations, meticulous case selection, multidisciplinary teamwork, preoperative counseling, and postoperative rehabilitation. Centralization to specialized centers is crucial for these technically demanding surgeries aimed at achieving tumor clearance and preserving quality of life.
Asset Subtitle
Raj Naik, United Kingdom
Meta Tag
Procedure Type
En bloc pelvic resection
Route
Open
Skill Level
Expert
Surgical Location
Pelvis
Keywords
Open
Pelvis
En bloc pelvic resection
Expert
LEA
LEPRA
pelvic sidewall recurrence
cervical cancer surgery
internal iliac vessels
multidisciplinary surgical approach
Raj Naik
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