Surgical Film Library-Systematic Approach to Identifying and the Dissection of a Posterior Chain Sentinel Lymph Node in Endometrial Cancer.

Systematic Approach to Identifying and the Dissection of a Posterior Chain Sentinel Lymph Node in Endometrial Cancer.

Video Transcription

Video Summary

This video demonstrates a systematic approach to identifying and dissecting posterior chain sentinel lymph nodes in endometrial cancer using ICG injection at the cervix. Key steps include opening pelvic side walls, ureterolysis, and developing avascular spaces to locate lymphatic tracts and sentinel nodes, specifically the internal iliac node. The uterine artery is ligated to reduce blood loss, and careful dissection avoids lymphatic rupture. Ureter mobilization and skeletonization of lymph nodes are performed while preserving critical structures. The process is recorded for teaching and auditing, emphasizing thorough inspection to ensure accurate staging and safe removal of lymph nodes.

Asset Subtitle

Michael Burling and Danendran Krishnan, Australia

Meta Tag

Procedure Type pelvic sentinel lymph node dissection

Route MIS-Robotic

Skill Level Intermediate

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Intermediate

pelvic sentinel lymph node dissection

posterior chain sentinel lymph nodes

endometrial cancer

ICG injection cervix

ureterolysis

lymph node dissection