Surgical Film Library-Modified Posterior Exenteration (Combined TAH BSO LAR)

Video Transcription

Video Summary

The speaker highlights the critical importance of mastering colorectal resection in ovarian cancer surgery to achieve complete cytoreduction (R0) and improve patient survival. Over the past 30 years, advancements have enabled surgeons to remove previously unresectable pelvic tumors safely, often avoiding stoma creation, which occurs in about 13% of cases with low complication rates. The detailed surgical video illustrates a complex procedure on a 73-year-old woman with advanced endometriotic ovarian carcinoma involving pelvic organs and retroperitoneal disease. Key steps include careful ureteral dissection, pelvic tumor removal, rectosigmoid resection with anastomosis, and meticulous reconstruction of the left ureter after an unintended injury. The surgeon emphasizes maintaining anatomical landmarks, ensuring watertight anastomoses, and minimizing tension to reduce complications. The patient recovered uneventfully in seven days. The presentation encourages gynecological surgeons to gain proficiency in these techniques to deliver optimal oncologic outcomes safely and invites video submissions to expand training resources internationally.

Asset Subtitle

Luis Chiva, Spain

Meta Tag

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Expert

colorectal resection

ovarian cancer surgery

complete cytoreduction

pelvic tumor removal

ureteral reconstruction