Surgical Film Library-Radical Trachelectomy With Laterally Extended Endopelvic Resection for Locally Advanced Cervical Cancer

Radical Trachelectomy With Laterally Extended Endopelvic Resection for Locally Advanced Cervical Cancer

Video Transcription

Video Summary

This surgical film details a radical trachelectomy with laterally extended endopelvic resection (LEAR) performed on a 28-year-old woman with locally advanced cervical cancer (5cm tumor, left parametrial invasion, lymph node metastases). After neoadjuvant chemotherapy that slightly reduced tumor size but left stable disease, fertility preservation was prioritized. The procedure included preserving the right uterine artery and performing type C1 parametrectomy with mesometrial resection and LEAR on the left. Key steps involved isolating and ligating various pelvic vessels and nerves to remove tumor-involved tissues while aiming to maintain fertility without further radiotherapy.

Asset Subtitle

Min Young Park, South Korea

Meta Tag

Procedure Type Radical Hysterectomy

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Radical Hysterectomy

Expert

radical trachelectomy

laterally extended endopelvic resection

locally advanced cervical cancer

fertility preservation

parametrectomy

Min Young Park