Surgical Film Library-Robotic Total Pelvic Exenteration For Recurrent Vulvar Cancer

Robotic Total Pelvic Exenteration For Recurrent Vulvar Cancer

Video Transcription

Video Summary

This surgical video demonstrates robotic-assisted total pelvic exenteration for a 79-year-old woman with recurrent vulvar squamous cell carcinoma involving the vulva, urethra, and anus. After prior surgeries and radiation, she underwent radical pelvic surgery using a robotic platform. The procedure involved precise dissection of pelvic spaces, ligation of vessels, ureter transection, rectosigmoid division, and coordination with a second surgeon for margin delineation. The specimen was removed en bloc, followed by perineal reconstruction with a myocutaneous flap and urinary and gastrointestinal diversion via a double-barreled wet colostomy. Operative time was 496 minutes with minimal blood loss and clear surgical margins.

Asset Subtitle

Mario Leitao, United States

Meta Tag

Procedure Type Exenteration

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Exenteration

robotic-assisted surgery

total pelvic exenteration

vulvar squamous cell carcinoma

myocutaneous flap reconstruction

double-barreled wet colostomy