Surgical Film Library-Sentinel Lymph Node Mapping Prior to Frozen Section for Suspected Endometrial Cancer

Sentinel Lymph Node Mapping Prior to Frozen Section for Suspected Endometrial Cancer

Video Transcription

Video Summary

This video demonstrates sentinel lymph node (SLN) mapping with indocyanine green (ICG) injection prior to hysterectomy and frozen section in suspected endometrial cancer. Injecting ICG into the cervix identifies pelvic and para-aortic SLNs, which are tagged with hemoclips but not removed before hysterectomy. After frozen section confirms malignancy, tagged nodes are selectively excised for staging, reducing unnecessary lymph node biopsy if pathology is benign. Two patient cases illustrate this method: the first had malignant frozen section prompting SLN removal; the second had benign pathology, so nodes were left intact. This approach optimizes surgical efficiency and minimizes morbidity.

Asset Subtitle

Allix Hillebrand, USA

Meta Tag

Procedure pelvic sentinel lymph node dissection

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

pelvic sentinel lymph node dissection

sentinel lymph node mapping

indocyanine green injection

hysterectomy

endometrial cancer

frozen section pathology