Surgical Film Library-Metastatic Mesonephric-Like Uterine Carcinoma: Robotic Assisted Tumor Debulking

Metastatic Mesonephric-Like Uterine Carcinoma: Robotic Assisted Tumor Debulking

Video Transcription

Video Summary

This video details a robotic-assisted tumor debulking in a 60-year-old woman with metastatic mesonephric-like uterine carcinoma. Presenting with pelvic pain and postmenopausal bleeding, imaging revealed fibroids with suspicious malignancy and pelvic lymphadenopathy. The surgery involved robotic diagnostic laparoscopy, peritonectomy, bilateral pelvic lymphadenectomy, and modified radical hysterectomy, carefully dissecting metastatic disease while preserving vital structures. An infracolic omentectomy and vaginal specimen removal followed. The procedure lasted 3.5 hours with minimal blood loss and no complications. Final pathology confirmed stage IVB cancer. The patient was discharged promptly and commenced adjuvant chemotherapy with carboplatin and Taxol.

Asset Subtitle

Hadi Erfani, Shadi Seraji, Farr Nezhat, USA

Meta Tag

Procedure Type Debulking pelvic disease

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Debulking pelvic disease

Expert

robotic-assisted surgery

tumor debulking

metastatic mesonephric-like uterine carcinoma

pelvic lymphadenectomy

adjuvant chemotherapy

Farr Nezhat

Shadi Seraji

Hadi Erfani