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Related Experiment Video

Updated: Jun 26, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

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Current developments for pelvic exenteration in gynecologic oncology.

Achim Schneider1, Christhardt Köhler, Evrim Erdemoglu

  • 1Department of Gynecology and Gynecologic Oncology, Campus Benjamin Franklin and Campus Mitte Charité, Germany. achim.schneider@charite.de

Current Opinion in Obstetrics & Gynecology
|January 7, 2009
PubMed
Summary
This summary is machine-generated.

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This review updates techniques in pelvic exenteration surgery, highlighting minimally invasive approaches like laparoscopy. Advances in urinary diversion and reconstruction offer improved patient outcomes and recovery.

Area of Science:

  • Oncology
  • Surgical Innovation
  • Pelvic Surgery

Background:

  • Pelvic exenteration is a radical surgical procedure for advanced pelvic cancers.
  • Continuous evolution of surgical techniques aims to improve patient outcomes.
  • Global variations exist in indications, staging, and adjuvant therapies for pelvic exenteration.

Purpose of the Study:

  • To review and update knowledge on new pelvic exenteration techniques, including minimally invasive surgery.
  • To discuss various aspects of this radical surgery, noting international differences.
  • To highlight recent advancements in surgical procedures and patient management.

Main Methods:

  • Review of current literature on pelvic exenteration techniques.
  • Analysis of advancements in laparoscopic and robotic-assisted surgery.

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Last Updated: Jun 26, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Published on: September 13, 2022

  • Evaluation of novel approaches to urinary diversion and pelvic reconstruction.

    • Main Results:

    • Explorative laparoscopy is a valuable tool for candidate selection prior to pelvic exenteration.
    • Laparoscopic pelvic exenteration offers benefits over laparotomy, including reduced blood loss and faster recovery.
    • New techniques for urinary diversion (laparoscopic-assisted, robotic-assisted) decrease operative time.
    • Vascularized muscle flaps and J-pouch techniques show promise for pelvic reconstruction and bowel anastomosis, respectively.

    Conclusions:

    • Laparoscopic pelvic exenteration provides significant advantages over traditional laparotomy.
    • Improved visualization aids in en-bloc tumor dissection and anastomosis.
    • Emerging techniques for urinary diversion, such as orthotopic neobladder and coloanal diversion, are promising.
    • Further development in bioengineered tissues is needed for optimal pelvic reconstruction.