Day 2: Postgraduate Course - Sunday November 9, 2019

ANAT-700: Tips and Tricks in Laparoscopic Retroperitoneal Surgical Anatomy to Perform Safe Gynecologic Surgery


Sunday, November 10, 2019


7:00 am – 11:00 am


Room 109



Presented in affiliation with American College of Obstetricians and Gynecologists (ACOG).




Shailesh P. Puntambekar, Audrey T. Tsunoda


Marcello Ceccaroni, Stefano Uccella

Course Description

2nd International School of Surgical Anatomy (ISSA) Course

Comprehensive anatomy and adequate surgical technique can transform a complex surgical case into a standardized step-by-step procedure. Minimal access procedures are based on limited and magnified surgical fields, which may impair a global perception of the anatomic structures. In this intensive course, pelvic and retroperitoneal anatomy will be unraveled with the use of various surgical films and images. Vascular, urinary, nerve dissections, and the approach to the pelvic space are detailed to target deep endometriosis, bulky lesions, fibroids in difficult locations, and oncologic cases. This course will also have a special focus on the ureteric anatomy, which is the Achilles heel for the gynecologist. After this rich experience, the participants will be able to master pelvic complex cases with standard and secure surgical technique, based in a detailed anatomic review.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Identify the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection for intermediate and advanced procedures; 2) perform minimally invasive techniques to expose avascular spaces of the pelvis, parametrial ligaments, nerves, and pelvic vessels, and their relations to the ureter and retroperitoneal structures; 3) apply principles of nerve-sparing surgical techniques; and 4) prevent and manage vascular injuries in major retroperitoneal vessels.

Course Outline

7:00Welcome, Introductions, and Course OverviewS.P. Puntambekar, A.T. Tsunoda
7:05Surgical Anatomy of the Pelvic Spaces and a Safe Compartmental ApproachS. Uccella
7:30Vascular Anatomy for Gynecologists: From the Left Renal Vein to the Obturator VesselsA.T. Tsunoda
7:55Understanding the Parametrium and the Paracervix—Radical Hysterectomy ClassificationS.P. Puntambekar
8:20Visceral and Somatic Pelvic Nerves—Tailoring Deep Infiltrating Endometriosis (DIE) and Radical Surgery ApproachesM. Ceccaroni
8:45Questions & AnswersAll Faculty
9:10How Can Anatomic Landmarks Save You from Risky and Difficult Situations?S.P. Puntambekar
9:35Surgical Techniques to Access the Retroperitoneum: Unraveling Pelvic Anatomy!M. Ceccaroni
10:00Ureteric Dissection in DIE: When and How?S. Uccella
10:25Paraaortic Dissection in Regular and Distorted Anatomy—Is There a Standard?A.T. Tsunoda
10:50Questions & AnswersAll Faculty