Surgical Film Library-Robotic Exenteration With An Endoscopic Double Barreled Wet Colostomy

Robotic Exenteration With An Endoscopic Double Barreled Wet Colostomy

Video Transcription

Video Summary

The video describes a robotic-assisted exenteration surgery for a 72-year-old woman with recurrent vulvar cancer post-radiation. The surgeon details using minimally invasive robotic techniques to dissect pelvic structures, mobilize the rectum, bladder, and uterus, and perform ureteral transections with precision. Collaboration with a perineal surgeon allowed successful joining of dissection planes. The resected specimen was removed transperineally, followed by a double-barrel wet colostomy combining urinary and fecal diversion to reduce operative time. Ureteral-colonic anastomoses were created with stented ureters. The procedure highlights robotic advantages in visualization, precision, and access in complex pelvic cancer surgery.

Asset Subtitle

Mario Leitao, 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 exenteration

vulvar cancer surgery

minimally invasive pelvic dissection

double-barrel wet colostomy

ureteral-colonic anastomosis