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Robotic-Assisted Cytoreductive Surgery for Recurrent Endometrial Carcinoma with Iliac Vessel Involvement: A
Adi Dayan-Schwartz1,2, Noga Shachor1, Meirav Braverman1,2
1Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel.
Annals of Surgical Oncology
|May 17, 2026
Summary
Robotic-assisted surgery enables safe and precise resection of recurrent endometrial cancer encasing pelvic blood vessels. This minimally invasive approach offers improved recovery for complex cases involving major vasculature.
Area of Science:
- Gynecologic Oncology
- Minimally Invasive Surgery
- Vascular Surgery
Background:
- Recurrent endometrial carcinoma involving major pelvic vasculature presents significant surgical challenges.
- Systemic therapy and radiation may be contraindicated or ineffective.
- Robotic-assisted surgery offers a minimally invasive approach for precise tumor dissection near critical vessels.
Purpose of the Study:
- To evaluate the feasibility and safety of robotic-assisted secondary cytoreductive surgery for recurrent endometrial carcinoma involving major pelvic vasculature.
Main Methods:
- A multidisciplinary team performed robotic-assisted surgery for a patient with recurrent endometrial carcinoma encasing iliac vessels.
- The procedure involved careful tumor dissection, vascular preservation, and complete resection.
- Preoperative vascular planning and endovascular readiness were utilized.
Main Results:
- Complete tumor resection was achieved without vascular injury.
- The patient recovered uneventfully and was discharged on postoperative Day 1.
- Lung lesions resolved after neoadjuvant chemotherapy.
Conclusions:
- A multidisciplinary robotic-assisted approach is feasible and safe for pelvic tumor resection involving major vasculature.
- Minimally invasive techniques enhance precision and recovery in managing recurrent endometrial carcinoma.
- Preoperative planning and endovascular readiness are crucial for surgical safety.