Advanced Minimally Invasive Surgery (MIS) Training Program-Pelvic Exenteration

Video Transcription

Video Summary

The video demonstrates a robotic-assisted total pelvic exoneration for recurrent vulvar carcinoma in a 79-year-old woman. The patient had previously undergone radical vulvectomies and pelvic radiation. The procedure involved careful dissection of pelvic structures, including ligating and dividing blood vessels. The rectum was transected, and the specimen was removed, followed by closure of the perineal defect. The surgery lasted 496 minutes with minimal blood loss, and surgical margins were clear of cancer. The patient's urinary and gastrointestinal systems were diverted, and a myocutaneous flap was used for closure.

Keywords

robotic-assisted surgery

pelvic exoneration

recurrent vulvar carcinoma

ligating blood vessels

myocutaneous flap