Surgical Film Library-Lateral Extended Endopelvic Ressections

Video Transcription

Video Summary

The speaker discusses the LEAR/LEPR surgical procedure for lateral pelvic sidewall resection, emphasizing its complex anatomy and variable terminology. Originating from Michael Heckel's work, LEAR involves removing structures like internal iliac vessels, obturator muscles, and parts of the lumbosacral plexus, primarily to address tumors fixed to the pelvic sidewall, often recurrent cervical cancer. The speaker highlights critical anatomy areas, such as the sciatic nerve and ischial spine, and shares surgical techniques including fascia opening and bone resection with orthopedic collaboration. The procedure aims for complete tumor removal to prevent recurrence, despite its complexity and patient impact.

Asset Subtitle

David Cibula, Czech Republic

Meta Tag

Procedure Type Pelvic exenteration

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Expert

Pelvic exenteration

LEAR surgical procedure

lateral pelvic sidewall resection

pelvic anatomy

recurrent cervical cancer

tumor removal techniques