Surgical Film Library-Multi-disciplinary hybrid total pelvic exenteration in a patient with third vulvar squamous cell carcinoma recurrence

Multi-disciplinary hybrid total pelvic exenteration in a patient with third vulvar squamous cell carcinoma recurrence

Video Transcription

Video Summary

This video presents a multidisciplinary, robotically assisted total pelvic exoneration in a 70-year-old woman with recurrent vulvar squamous cell carcinoma involving the anal sphincter. The stepwise surgical approach included posterior, lateral, and middle compartment dissections, resection of affected tissues, and omentum mobilization with perfusion assessment via IV ICG. Ureters were clipped, and a colostomy with chondrite formation was performed. The pelvic floor defect was covered using a gracilis flap. Postoperative recovery included treatment of a cardiac event. Eight months post-surgery, the patient is cancer-free with good stoma function and improved quality of life.

Asset Subtitle

Maximilian Klar, Germany

Meta Tag

Procedure Type Pelvic exenteration

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Pelvic exenteration

robotically assisted surgery

total pelvic exoneration

vulvar squamous cell carcinoma

omentoplasty with ICG perfusion

gracilis flap reconstruction