Surgical Film Library-Single port Laparoscopic radical hysterectomy with total mesometrial resection for cervical cancer

Single port Laparoscopic radical hysterectomy with total mesometrial resection for cervical cancer

Video Transcription

Video Summary

This video demonstrates single-port radical hysterectomy with total mesometrial resection for cervical cancer (FIGO IB1). Key steps include identifying and preserving superior and inferior hypogastric nerves, extended lymphadenectomy, and careful dissection of cardinal, utero-sacral, rectovaginal, and vesicouterine ligaments to protect nerves and vessels. The procedure involves meticulous nerve-sparing techniques to prevent damage, use of traction sutures, and controlled vessel coagulation. Vaginal wall opening and closure are performed laparoscopically with special tools to prevent air leakage, and ureters are suspended to avoid stenosis. The surgery lasted 203 minutes with minimal blood loss, and the patient recovered bladder function within 7 days.

Asset Subtitle

Yoon S Lee, South Korea

Meta Tag

Procedure Type Radical Hysterectomy

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

Expert

Radical Hysterectomy

single-port radical hysterectomy

total mesometrial resection

cervical cancer surgery

nerve-sparing technique

laparoscopic vaginal wall closure

Yoon S Lee