A case of stage IB1 cervical cancer radical hysterectomy by fluorescent laparoscopic navigation combined with indocyanine green (ICG) sentinel lymph node excision

Xuexin Zhou, Ru Zhang, Cailiang Wu, Wei Bao, Yaping Zhu

Abstract

This video presentation demonstrates the progress of a patient diagnosed with stage IB1 cervical squamous cell carcinoma by the FIGO stage and undergoing radical hysterectomy of cervical cancer under fluorescence laparoscopy. After disinfecting the tissue, a 0.5 mL ICG tracer was injected into the cervix at 3 and 9 o’clock to trace the sentinel lymph node. Bilateral internal iliac sentinel lymph nodes were removed under a fluorescence microscope, and pelvic lymph node dissection was performed. Then, the circular ligaments on both sides of the uterus were removed, the broad ligaments on both sides were opened, and the uterosacral ligament, main ligament, and bilateral parametrium tissues were removed. Finally, the vaginal wall was incised 3 cm below the outer cervical opening without a uterine manipulator. The vaginal stump on both sides of the excised specimen was clipped, the excised specimen was removed through the vagina, and the vaginal stump was sutured with the edge of the v-loc absorbable suture.