Surgical Film Library-Sentinel Lymph Node Mapping for Uterine Cancer: An Approach to Fulfil the Surgical Competency Assessment Tool.

Sentinel Lymph Node Mapping for Uterine Cancer: An Approach to Fulfil the Surgical Competency Assessment Tool.

Video Transcription

Video Summary

This video outlines a systematic 10-step approach to sentinel lymph node dissection (SLND) in endometrial cancer, based on Maloney et al.'s surgical competency assessment tool used in the Endo3 trial. It emphasizes thorough abdominal surveys to exclude extra-uterine disease and meticulous dissection techniques to identify and remove sentinel nodes without rupturing afferent and efferent lymphatic channels. Key anatomical structures like the ureter, internal iliac artery, and obturator nerve are highlighted. Proper camera settings and hemostasis are critical to visualize indocyanine green (ICG) fluorescence. The video stresses the importance of standardized SLND training, given fewer full lymphadenectomies by fellows.

Asset Subtitle

Michael Burling, Australia

Meta Tag

Procedure pelvic sentinel lymph node dissection

Route MIS-Laparoscopic

Skill Level Intermediate

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

Intermediate

pelvic sentinel lymph node dissection

sentinel lymph node dissection

endometrial cancer

Maloney surgical tool

indocyanine green fluorescence

lymphatic anatomy