Surgical Film Library-Surgical Approach to Cervical Cancer and Consider Nerve Sparing Radical Hysterectomy

Surgical Approach to Cervical Cancer and Consider Nerve Sparing Radical Hysterectomy

Video Transcription

Video Summary

This video reviews nerve-sparing radical hysterectomy for early-stage cervical cancer, emphasizing updated 2018 FIGO staging and surgical techniques. Early stages include microscopic (1a) and macroscopic tumors divided by size (<2cm, 2-4cm, >4cm). Radical hysterectomy balances tumor removal and nerve preservation, crucially sparing pelvic autonomic nerves without reducing surgical radicality. Using sentinel lymph node mapping aids lymphadenectomy, with side-specific dissection if mapping fails. Key operative steps include careful ureter and nerve dissection, parametria removal, and vaginal cuff closure to prevent cancer spread. Minimally invasive approaches utilize stapling devices for tumor containment. The approach tailors radicality to disease extent and fertility needs.

Asset Subtitle

Aaron M Praiss & Yukio Sonoda, USA

Meta Tag

Procedure Type Hysterectomy

Route Open

Skill Level Novice

Surgical Location Pelvis

Keywords

Open

Pelvis

Novice

Hysterectomy

nerve-sparing radical hysterectomy

early-stage cervical cancer

2018 FIGO staging

sentinel lymph node mapping

minimally invasive surgery

Praiss

Yukio Sonoda