Surgical Film Library-Fluorescence Guided Total Robotic Parietal Peritonectomy, Cytoreductive Surgery And Closed Hipec

Fluorescence Guided Total Robotic Parietal Peritonectomy, Cytoreductive Surgery And Closed Hipec

Video Transcription

Video Summary

This video details fluorescence-guided total robotic parietal peritonectomy, cytoreductive surgery (CRS), and closed HIPEC in advanced ovarian cancer with peritoneal carcinomatosis. A 45-year-old woman with stage 3c high-grade ovarian carcinoma underwent neoadjuvant chemotherapy followed by robotic CRS guided by intravenous indocyanine green (ICG) fluorescence to detect tumor nodules. Extensive parietal and pelvic peritonectomy, lymphadenectomy, omentectomy, and appendix removal were performed with nerve preservation to maintain function. The surgery lasted about 10-12 hours, achieving complete cytoreduction (CC0). Postoperatively, the patient recovered quickly, demonstrating that minimally invasive robotic surgery with ICG guidance is safe, effective, and enhances tumor visualization.

Asset Subtitle

Esha Shanbhag, India

Meta Tag

Procedure Type Cytoreductive surgery

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Cytoreductive surgery

fluorescence-guided surgery

robotic cytoreductive surgery

peritoneal carcinomatosis

indocyanine green (ICG)

advanced ovarian cancer