ROBOTIC BLADDER SPARING EXENTERATION FOR LOCALLY ADVANCED LOWER RECTAL CANCER
This video was entered by Dr. Avanish Saklani in the 2022 KS International Robotic Surgery Innovation Awards, sponsored by the Vattikuti Foundation. It was featured in the Vattikuti Symposium ‘Humans on the Cutting Edge of Robotic Surgery’, held in Miami, Florida November 19, 2022.
Here is the Abstract:
Objective: To present the technical details of robotic bladder sparing exenteration
Methods: A case of Locally advanced lower rectum cancer Post NACTRT persistent anterior CRM positive was managed with bladder preserving exenteration. Lower rectal cancers pose a challenge to the clinician in clinical practice. Persistent anterior CRM positive tumour require extended TME or sometimes exenterations to achieve R0 resection.
Results: At our centre till now we have performed 9 such cases with acceptable perioperative morbidity and short term oncological outcomes
Conclusions: Robotic bladder sparing is oncologically safe and may be less morbid than Total Pelvic exenteration in selected group of patients.