Surgical Film Library-Salvage Robotic Anterior Pelvic Exenteration: Technique & Feasibility

Salvage Robotic Anterior Pelvic Exenteration: Technique & Feasibility

Video Transcription

Video Summary

The video demonstrates a robotic anterior pelvic extension surgery performed on a patient with recurrent stage 2b squamous cell carcinoma of the cervix after prior chemoradiotherapy and brachytherapy. Detailed dissection steps include mobilization and clipping of uterine arteries, ureters, ligaments, and separation of the rectum and bladder from surrounding tissues. Total vaginectomy with an ileal conduit was done to remove the tumor extending into the upper vagina. The specimen was delivered vaginally, and margins were clear on histopathology despite involvement of cervical stroma, bladder fat, and upper vagina. The patient’s postoperative plan includes close follow-up.

Asset Subtitle

Vandana Jain, India

Meta Tag

Procedure Type Anterior pelvic exenteration

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Anterior pelvic exenteration

robotic anterior pelvic extension surgery

stage 2b squamous cell carcinoma cervix

chemoradiotherapy and brachytherapy

total vaginectomy with ileal conduit

postoperative follow-up

Vandana Jain