Surgical Film Library-Sentinel Lymph Node Sampling: Searching the Uncommon Locations

Sentinel Lymph Node Sampling: Searching the Uncommon Locations

Video Transcription

Video Summary

This video details the sentinel lymph node biopsy procedure in a 44-year-old woman with grade 1 endometrial cancer. Sentinel lymph nodes, primarily near the obturator and external iliac regions, are identified using indocyanine green injected into the cervix. The surgeon develops the retroperitoneal space, locates lymphatic channels via fluorescence imaging, and carefully dissects and removes the sentinel node without damage. Pathology confirmed early-stage, uterus-confined endometrioid carcinoma with no lymph node metastasis. This minimally invasive procedure reduces morbidity and guides postoperative treatment decisions, allowing the patient to be managed without adjuvant therapy and under close surveillance.

Asset Subtitle

Emad Matanes, Israel

Meta Tag

Procedure Type Pelvic sentinel node dissection

Route MIS-Robotic

Skill Level Novice

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Novice

Pelvic sentinel node dissection

sentinel lymph node biopsy

endometrial cancer

indocyanine green

fluorescence imaging

minimally invasive surgery