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Case Reports in Surgery
Volume 2015 (2015), Article ID 835425, 4 pages
http://dx.doi.org/10.1155/2015/835425
Case Report

Robotic Total Pelvic Exenteration with Laparoscopic Rectus Flap: Initial Experience

1Department of Urology, University of Washington School of Medicine, Seattle, WA 98195, USA
2Department of General Surgery, University of Washington School of Medicine, Seattle, WA 98195, USA
3Department of Plastic Surgery, University of Washington School of Medicine, Seattle, WA 98195, USA
4Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA

Received 10 January 2015; Accepted 1 April 2015

Academic Editor: Frédéric Marchal

Copyright © 2015 Brian R. Winters et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Total pelvic exenteration is a highly morbid procedure performed for locally advanced pelvic malignancies. We describe our experience with three patients who underwent robotic total pelvic exenteration with laparoscopic rectus flap and compare perioperative characteristics to our open experience. Demographic, tumor, operative, and perioperative factors were examined with descriptive statistics reported. Mean operative times were similar between the two groups. When compared to open total pelvic exenteration cases , median estimated blood loss, ICU stay, and hospital stay were all decreased. These data show robotic pelvic exenteration with laparoscopic rectus flap is technically feasible. The surgery was well tolerated with low blood loss and comparable operative times to the open surgery. Further study is needed to confirm the oncologic efficacy and the suggested improvement in surgical morbidity.