Surgical Film Library-LEER and LEPR: Pelvic Side Wall Recurrences

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