Surgical Film Library-Single-site Laparoscopic Radical Trachelectomy Without a Uterine Manipulator

Single-site Laparoscopic Radical Trachelectomy Without a Uterine Manipulator

Video Transcription

Video Summary

This video demonstrates a single-side laparoscopic radical trachelectomy without using a uterine manipulator on a 29-year-old woman with stage 1b1 cervical squamous carcinoma. The procedure involved uterine suspension using sutures to manipulate the uterus, bilateral pelvic lymphadenectomy, careful dissection and resetting of pelvic ligaments, ureters, and fascia. The cervix was resected near the uterine isthmus while preserving uterine artery branches. The residual cervix was reconstructed and the vagina sutured carefully to avoid artery damage. The peritoneum was closed to prevent adhesions, and a stem was placed transvaginally to prevent cervical stenosis. The incision was closed with cosmetic techniques.

Asset Subtitle

Huaiwu Lu, China

Meta Tag

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

Expert

laparoscopic radical trachelectomy

cervical squamous carcinoma

uterine suspension

pelvic lymphadenectomy

cervical stenosis prevention

Huaiwu Lu