Surgical Film Library-Robotic Pelvic Lymphadenectomy

Video Transcription

Video Summary

This video from Tata Medical Center Kolkata demonstrates robot-assisted pelvic lymphadenectomy on a 53-year-old woman with high-grade serous endometrial carcinoma. Following hysterectomy, radiology showed enlarged retroperitoneal lymph nodes. The surgery involves careful dissection around key anatomical landmarks—the infundibular pelvic ligament, ureter, external iliac vessels, and round ligament. Critical steps include identifying the obliterated umbilical artery, avoiding ureteral injury, clearing the obturator fossa while preserving nerves and vessels, and managing the corona mortis to prevent bleeding. The lymph node packet is removed en bloc, ensuring thorough clearance and neurovascular preservation for optimal surgical outcomes.

Asset Subtitle

Jagannath Mishra, India

Meta Tag

Procedure Type Pelvic lymphadenectomy

Route MIS-Robotic

Skill Level Intermediate

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Intermediate

Pelvic lymphadenectomy

robot-assisted pelvic lymphadenectomy

high-grade serous endometrial carcinoma

retroperitoneal lymph nodes

neurovascular preservation

corona mortis management