Surgical Film Library-Robotic Assisted Pelvic Exenteration In A Radiated Field

Robotic Assisted Pelvic Exenteration In A Radiated Field

Video Transcription

Video Summary

The presentation discusses robotic-assisted pelvic exenterations in patients with advanced cervical cancer and radiation-induced fistulas. Robotic surgery offers improved visualization, reduced blood loss, smaller incisions, and enhanced postoperative pain management, enabling complex ultra-radical surgeries. The speaker reviews surgical approaches, challenges with fibrosis from radiation, and techniques for identifying anatomical landmarks like ureters and bladder planes. Key modifications include lateral-to-medial dissection, careful ureterolysis, and tension-free closure of fistulas, using specialized tools to delineate spaces. The speaker concludes that robotic pelvic exenterations in radiated fields are feasible and safe for palliation, contingent on surgeon expertise.

Asset Subtitle

Payam Kashi, United States

Meta Tag

Procedure Type Pelvic exenteration

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Pelvic exenteration

robotic-assisted pelvic exenteration

advanced cervical cancer

radiation-induced fistulas

ultra-radical surgery

ureterolysis techniques