Lawande Akhil, Kenawadekar Rahul, Desai Riddhi, Malireddy Chaitanya, Nallapothula Kathya, Puntambekar Shailesh P
Galaxy Care Laparoscopy Institute, Pune, India.
J Robot Surg. 2014 Mar;8(1):93-6. doi: 10.1007/s11701-013-0404-5. Epub 2013 May 5.
Pelvic exenteration is now becoming widely acceptable as a curative procedure rather than a palliative one. Performing these surgeries by minimally invasive techniques helps to improve the quality of life and decrease the morbidity of these extensive procedures.
To demonstrate the feasibility of performing a total pelvic exenteration robotically, and to study the morbidity associated with such extensive surgery.
A 35-year-old female with advanced cervical cancer presented with a vesicovaginal fistula and a rectovaginal fistula. In view of these, we performed a total robotic pelvic exenteration with colo-anal anastomosis and uretero-sigmoidostomy. The patient refused an ileal-loop conduit for urinary tract diversion due to social reasons associated with a stoma.
The total operative time was 240 min and the console time was 120 min. The estimated blood loss was 300 ml and the intensive care unit stay was 2 days. Post-operatively, the patient had good faecal and urinary continence and good quality of life.
盆腔脏器切除术如今作为一种根治性手术而非姑息性手术正被广泛接受。通过微创技术实施这些手术有助于提高生活质量并降低这些大型手术的发病率。
证明机器人辅助下实施全盆腔脏器切除术的可行性，并研究此类大型手术相关的发病率。
一名35岁晚期宫颈癌女性患者出现膀胱阴道瘘和直肠阴道瘘。鉴于此，我们实施了机器人辅助下全盆腔脏器切除术，并行结肠肛管吻合术和输尿管乙状结肠吻合术。由于与造口相关的社会原因，患者拒绝行回肠膀胱术进行尿路改道。
总手术时间为240分钟，控制台操作时间为120分钟。估计失血量为300毫升，重症监护病房停留时间为2天。术后，患者大便和小便控尿良好，生活质量良好。
