Surgical Film Library-Robotic Retroperitoneal Lymphadenectomy Using ICG Dye for Intraoperative Identification of the Ureter

Robotic Retroperitoneal Lymphadenectomy Using ICG Dye for Intraoperative Identification of the Ureter

Video Transcription

Video Summary

This video demonstrates robotic retroperitoneal lymphadenectomy in a 72-year-old with an enlarging ovary, using indocyanine green (ICG) dye for ureter identification. Cystoscopy allowed retrograde ICG injection into ureters, enhancing visualization during dissection. The team carefully dissected fixed lymph nodes around critical vessels and preserved nerves despite fibrosis. The robotic platform facilitated delicate maneuvering and visualization while preventing ureteral injury. Frozen section analysis guided further dissection. Additionally, intracervical ICG was injected to assess sentinel lymph nodes for potential endometrial cancer. This technique highlights the benefits of robotic surgery combined with ICG in complex retroperitoneal procedures for safer, efficient lymphadenectomy.

Asset Subtitle

Beverly Ortiz, United States

Meta Tag

Procedure Type Ureter Identification

Route Pelvis

Skill Level Expert

Surgical Location Pelvis

Keywords

Pelvis

Expert

Ureter Identification

robotic retroperitoneal lymphadenectomy

indocyanine green (ICG) dye

frozen section analysis

sentinel lymph nodes assessment