Surgical Film Library-Total intracorporeal robotic radical nerve sparing hysterectomy with cerclage

Total intracorporeal robotic radical nerve sparing hysterectomy with cerclage

Video Transcription

Video Summary

This video demonstrates a total intracorporeal robotic radical hysterectomy with vaginal cerclage, performed without a uterine manipulator to contain the tumor during minimally invasive surgery for early-stage cervical cancer. Using the Da Vinci XI system, detailed dissection and preservation of nerves and vessels are shown, including pelvic lymphadenectomy and careful management of the ureter, uterine artery, and hypogastric nerves. A circumferential vaginal cerclage is placed distal to the tumor to prevent spread. The uterus is removed vaginally in an endo bag, and the vaginal cuff is closed, successfully completing the nerve-sparing radical hysterectomy with tumor containment.

Asset Subtitle

Peter Lim, United States

Meta Tag

Procedure Hysterectomy

Route MIS-Robotic

Skill Level Expert

Keywords

Hysterectomy

Expert

MIS-Robotic

intracorporeal robotic radical hysterectomy

vaginal cerclage

uterine manipulator-free surgery

Da Vinci XI system

nerve-sparing cervical cancer surgery