The minimally invasive surgery has the advantages of having less pain, early recovery and early discharge from the hospital.
The harmonic settings used for this case is 2/5. The fast mode harmonic has the advantages of less charring and preserves the biological properties of the tissues.
Following the "Bubble theory dissection" helps in easy creation of retroperitoneal spaces with minimal bleeding.
The identification of deep uterine vein is better in laparoscopic surgery comparing to open surgery. Therefore, lateral parametrial resection above the level of deep uterine vein allows us spare the pelvic splanchnic nerves.
The cervical lesion in this case was 2x2 cm and imaging revealed no lymphadenopathy.
The pelvic lymphadenectomy part of this case is published in other video. the link to it as follows |