Surgical Film Library-Surgical Technique of Two-step Pelvic and Para-aortic Sentinel Lymph Node Mapping in Early Stage Endometrial Cancer; Laparoscopic, Robotic and Open Method

Surgical Technique of Two-step Pelvic and Para-aortic Sentinel Lymph Node Mapping in Early Stage Endometrial Cancer; Laparoscopic, Robotic and Open Method

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Video Transcription

Video Summary

The procedure involves injecting indocyanine green (ICG) in the uterine fundus and cervix to map sentinel lymph nodes via distinct paraerotic and pelvic pathways while minimizing tumor spillage by clamping. Fluorescence imaging confirms nodal drainage and guides precise dissection of right and left sentinel lymph nodes, including obturator, internal iliac, presacral, and paraerotic nodes. Key anatomical landmarks and careful dissection avoid injury to vessels and ureters. This targeted sentinel lymph node mapping reduces the need for full lymphadenectomy and its complications, enhancing surgical accuracy and patient safety in gynecologic oncology cases.

Asset Subtitle

Jeong-Yeol Park, South Korea

Meta Tag

Procedure Type pelvic sentinel lymph node dissection

Route MIS-Laparoscopic

Skill Level Intermediate

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

Intermediate

pelvic sentinel lymph node dissection

indocyanine green

sentinel lymph node mapping

fluorescence imaging

gynecologic oncology

lymphadenectomy