Surgical Film Library-SLN Mapping In Ovarian & Uterine Cancers

Video Transcription

Video Summary

Dr. Rainer Kimmig from Germany presents on lymphadenectomy anatomy and techniques in gynecologic oncology, emphasizing the importance of understanding the three consistent lymphatic drainage pathways from the female genital tract: (1) the deep pelvic pathway along the internal iliac vessels to presacral nodes, (2) drainage along the uterine artery and iliac vessels, and (3) para-aortic drainage via the infundibulopelvic ligament. Using injections in different regions (cervix, corpus, ovarian ligament), sentinel nodes—the first nodes in drainage—can be identified. Kimmig contrasts targeted compartmental lymphadenectomy, removing defined first-line nodes, with sentinel lymph node biopsy, stressing anatomy guides the approach. For cervical, endometrial, and ovarian cancers, knowledge of drainage lines helps decide whether to do sentinel node biopsy or a broader lymphadenectomy. Video demonstrations of dissection along relevant vessels highlight crucial landmarks like the uterine artery and ovarian vein. Kimmig underscores that this anatomy-based strategy aids safe, effective node removal tailored to cancer type and surgical goals.

Asset Subtitle

Rainer Kimmig, Germany

Meta Tag

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Uterine

Endometrial

Ovarian

lymphadenectomy anatomy

gynecologic oncology

lymphatic drainage pathways

sentinel lymph node biopsy

compartmental lymphadenectomy