Surgical Film Library-Laparoscopic Transperitoneal Paraaortic Lymph Node Debulking: Standardization Of The Technique.

Laparoscopic Transperitoneal Paraaortic Lymph Node Debulking: Standardization Of The Technique.

Video Transcription

Video Summary

This video demonstrates a standardized laparoscopic transperitoneal peri-aortic lymph node debulking in a 58-year-old with a 1.5 cm adnexal mass, elevated CA 125, and bulky peri-aortic nodes. The procedure involved strategic trocar placement, careful retroperitoneal dissection along vascular landmarks, and meticulous lymph node removal with vascular and lymphatic preservation. Peritoneal suspension stitches enhanced exposure. Metal clips marked lymphatic ducts for imaging and adjuvant therapy planning. Surgery lasted 210 minutes with minimal blood loss. Pathology confirmed high-grade serous adenocarcinoma with extensive nodal metastasis but no peritoneal disease. The patient was discharged next day and began chemotherapy two weeks later.

Asset Subtitle

Audrey Tsunoda, Brazil

Meta Tag

Procedure Type Paraortic Lymph node resection

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Mid-abdomen

Keywords

MIS-Laparoscopic

Mid-abdomen

Expert

Paraortic Lymph node resection

laparoscopic transperitoneal lymph node debulking

adnexal mass

CA 125 elevation

peri-aortic lymphadenectomy

high-grade serous adenocarcinoma