Article Text

Download PDFPDF
EP1345 Pelvic lymphadenectomy: step-by-step surgical education video
  1. I Selcuk1,
  2. B Uzuner2,
  3. E Boduc2,
  4. Y Baykus3,
  5. B Akar4 and
  6. T Gungor5
  1. 1Zekai Tahir Burak Women’s Health Training and Research Hospital, Faculty of Medicine, University of Health Sciences, Ankara
  2. 2Anatomy
  3. 3Obstetrics and Gynecology, Kafkas University Faculty of Medicine, Kars
  4. 4Obstetrics and Gynecology, Istinye University Faculty of Medicine, Istanbul
  5. 5Gynecologic Oncology, Zekai Tahir Burak Women’s Health Training and Research Hospital, Faculty of Medicine, University of Health Sciences, Ankara, Turkey


Introduction/Background Pelvic lymphadenectomy is a supplementary part of staging and treatment in gynecologic oncology.

Methodology This video demonstrates a right side systematic pelvic lymphadenectomy in a cadaveric model with proper anatomic landmarks.

Results The borders of pelvic lymph nodes are genitofemoral nerve laterally, bifurcation of common iliac artery cranially, deep circumflex iliac vein caudally, obturator nerve inferiorly and obliterated umbilical artery medially

The fibroadipose lymphatic tissue over the external iliac artery is gently elevated and mobilized medially, a tiny dissection is applied to separate the lymphatic tissue from the fibrous sheath. While dissection is carried out longitudinally over the external iliac artery; at the mid-level a cleavage is opened to clear the lymphatic tissue over the external iliac vein until the level of deep circumflex iliac vein whichis the caudal border. Therefore, internal iliaclymph nodes are also removed over the anterior part of internal iliac artery. Afterwards, lymph node dissection turns around the superior pubic ramus of pubic bone which forms a part of obturator foramen and pubic vein the connection between the external iliac and obturator vein (corona mortis) is identified. By the way, dissection of obturator lymph nodes starts from this point after retraction of external iliac vessels laterally to the psoas muscle and maintaining a medial retraction on the paravesical space (that retracts the obliterated umbilical artery medially). All the lymphatic tissue over the obturator nerve medial to the obliterated umbilical artery is stripped from the attachments and finally the lymphatic tissue is removed.

Conclusion Learning the proper technique of pelvic lymphadenectomy with anatomical landmarks will improve the surgical skills and confidence.

Disclosure Nothing to disclose

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.