Step by step demonstration of Laparoscopic Pelvic Lymph Node Dissection in Rectal Cancer - A video vignette.

Lateral lymph node dissection is a critical part of the armamentarium in the treatment of pelvic malignancy. In recent years there seems to be a greater acceptance of lateral pelvic lymph node dissection as a treatment modality for remnant nodes following chemoradiation. The lateral lymph node dissection presents a unique challenge of performing surgery in a compact space with a high risk of intraoperative as well as post-operative complications such as bleeding, nerve injury and post-operative lymph oedema as well as urogenital deficits. Here we present a step by step demonstration of lateral pelvic lymph node dissection in a case of rectal cancer.