Surgical Film Library-Radical Left Hemivulvectomy, Superficial Right Hemivulvectomy And Sentinel Lymph Node With Indocyanine Green

Radical Left Hemivulvectomy, Superficial Right Hemivulvectomy And Sentinel Lymph Node With Indocyanine Green

Video Transcription

Video Summary

This case involves a 68-year-old patient treated for a 20mm squamous cell carcinoma on the left hemivulva and high-grade vulvar intraepithelial neoplasia bilaterally. Procedures included radical left hemivulvectomy, superficial right hemivulvectomy, and bilateral sentinel lymph node identification using indocyanin green dye. Careful dissection preserved vital structures, including the clitoris, to maintain quality of life. Sentinel lymph nodes were located and removed minimally invasively, avoiding full lymph node dissection. Pathology confirmed no lymph node involvement. The approach emphasizes surgical de-escalation to reduce complications while effectively treating vulvar cancer and pre-cancerous lesions.

Asset Subtitle

Léa Pauly, France

Meta Tag

Route Open

Skill Level Intermediate

Surgical Location Vulva

Keywords

Open

Vulva

Intermediate

squamous cell carcinoma

vulvar intraepithelial neoplasia

hemivulvectomy

sentinel lymph node biopsy

surgical de-escalation