Surgical Film Library-Robotic Surgical Staging of Ca Endometrium in Uterus Didelphys: A Dual Pathological Challenge

Robotic Surgical Staging of Ca Endometrium in Uterus Didelphys: A Dual Pathological Challenge

Video Transcription

Video Summary

A 64-year-old postmenopausal woman with uterus didelphys and dual pathology—endometrioid adenocarcinoma in the right horn and atypical hyperplasia in the left—underwent robotic surgical staging for endometrial cancer. Challenges included dual injection of ICG dye for accurate lymphatic mapping, careful dissection of centenal lymph nodes, and navigating distorted anatomy from a dense fibrous band and vaginal septum. An unexpected fibroid complicated the procedure. Robotic surgery's precision enabled meticulous ureter management, septum excision, and complete lymphadenectomy. This case highlights the importance of dual injection, anomaly evaluation, radiology vigilance, and robotic advantages in complex uterine malformations with cancer.

Asset Subtitle

Anukrati Singh, India

Meta Tag

Procedure Type Robotic hysterectomy and BSO

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Robotic hysterectomy and BSO

uterus didelphys

endometrioid adenocarcinoma

robotic surgical staging

dual ICG injection

complex uterine malformations