Surgical Film Library-Laparoscopic Type Ii Radical Hysterectomy With Lymphadenectomy for High Risk Endometrial Cancer: Appreciation of Deep Pelvic Anatomy

Laparoscopic Type Ii Radical Hysterectomy With Lymphadenectomy for High Risk Endometrial Cancer: Appreciation of Deep Pelvic Anatomy

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Video Transcription

Video Summary

This video demonstrates a laparoscopic type 2 radical hysterectomy with lymphadenectomy for high-risk endometrial cancer in a 62-year-old woman. After diagnosis via biopsy and imaging showed no metastasis but significant myometrial invasion, surgery was performed using five ports. Key steps included pelvic lymph node dissection, careful ureteral and vascular identification, and retroperitoneal lymph node sampling, ensuring preservation of nerves and vessels. The uterus was removed vaginally, and the vaginal vault sutured. Postoperative histology confirmed high-grade serous carcinoma with negative lymph nodes. The patient was discharged promptly and planned for adjuvant chemotherapy and radiation therapy.

Asset Subtitle

Swapnil Patel, India

Meta Tag

Procedure Radical Hysterectomy

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

Expert

Radical Hysterectomy

laparoscopic radical hysterectomy

type 2 hysterectomy

lymphadenectomy

high-risk endometrial cancer

pelvic lymph node dissection