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Related Experiment Videos

Robotic total pelvic exenteration.

Akhil Lawande1, Rahul Kenawadekar1, Riddhi Desai1

  • 1Galaxy Care Laparoscopy Institute, Pune, India.

Journal of Robotic Surgery
|September 18, 2016
PubMed
Summary
This summary is machine-generated.

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Robotic total pelvic exenteration is feasible for advanced cervical cancer with fistulas. This minimally invasive approach resulted in good functional outcomes and quality of life for the patient.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Gynecologic Oncology

Background:

  • Pelvic exenteration is increasingly recognized as a curative treatment for advanced pelvic cancers.
  • Minimally invasive techniques in pelvic exenteration aim to reduce morbidity and enhance patient recovery.
  • Fistula formation (vesicovaginal and rectovaginal) can complicate advanced pelvic malignancies, necessitating complex surgical management.

Purpose of the Study:

  • To assess the feasibility of performing a total pelvic exenteration using robotic assistance.
  • To evaluate the morbidity associated with robotic total pelvic exenteration in a complex case.
  • To explore alternative urinary diversion methods in patients with stoma-related concerns.

Main Methods:

  • A case study of a 35-year-old female with advanced cervical cancer and recto- and vesicovaginal fistulas.
Keywords:
Cancer cervixExenterationMinimally invasive surgeryPalliationRobotic

Related Experiment Videos

  • Surgical procedure involved a total robotic pelvic exenteration with colo-anal anastomosis and uretero-sigmoidostomy.
  • Urinary diversion was achieved via uretero-sigmoidostomy, avoiding a stoma due to patient preference.

    • Main Results:

    • The robotic total pelvic exenteration was completed with a total operative time of 240 minutes and console time of 120 minutes.
    • Estimated blood loss was 300 ml, with a 2-day intensive care unit stay.
    • The patient achieved good fecal and urinary continence post-operatively, reporting a good quality of life.

    Conclusions:

    • Robotic total pelvic exenteration is a feasible and effective surgical option for advanced cervical cancer with complex fistulas.
    • Minimally invasive robotic surgery can lead to favorable functional outcomes and improved quality of life after extensive pelvic procedures.
    • Uretero-sigmoidostomy offers a viable alternative for urinary diversion in select patients undergoing pelvic exenteration, preserving quality of life.