Surgical Film Library-Robotic Radical Hysterectomy Without Uterine Manipulator or Vaginal Tube

Robotic Radical Hysterectomy Without Uterine Manipulator or Vaginal Tube

Video Transcription

Video Summary

This video demonstrates a robotic reticular hysterectomy performed without a uterine manipulator or vaginal tube to minimize tumor spread. A 40-year-old woman with stage 1B2 invasive cervical cancer underwent this minimally invasive procedure. The uterus was manipulated using a robotic arm with tactile sutures, avoiding endometrial penetration. Sentinel lymph node biopsy and careful ureter dissection were performed. Colpotomy was done with an endo-GIA stapler to seal the vagina completely, preventing tumor spillage. Postoperative pathology showed no tumor extension, clear margins, and no lymph node involvement, confirming the procedure's effectiveness and safety in managing early cervical cancer.

Asset Subtitle

Ji Yeon Choi, South Korea

Meta Tag

Procedure Type Radical Hysterectomy

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Radical Hysterectomy

Expert

robotic reticular hysterectomy

minimally invasive surgery

cervical cancer stage 1B2

sentinel lymph node biopsy

tumor spillage prevention

Ji Yeon Choi