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SF007/#206 A systematic approach for achieving optimal cytoreduction of locally advanced endometrial cancer by a robotic approach
Ist Teil von
International journal of gynecological cancer, 2021-11, Vol.31 (Suppl 4), p.A24-A24
Ort / Verlag
Oxford: BMJ Publishing Group Ltd
Erscheinungsjahr
2021
Beschreibungen/Notizen
IntroductionThis video demonstrates surgical techniques that can be utilized to optimally cytoreduced locally advanced endometrial cancer via a robotic approach.DescriptionThe patient had biopsy proven endometrial adenocarcinoma. Pre-operative CT scan indicated omental caking with involvement of the pelvic peritoneum and uterosacral ligaments. The patient had diagnostic laparoscopy which showed disease limited to the pelvis. Robotic surgical techniques demonstrated include 1) upfront vascular control of pedicles, 2) lateral mobilization of ureters for management of uterosacral disease, 3) peritonectomy for excision of peritoneal lesions, and 4) infracollic omentectomy.Conclusions/ImplicationThe patient was debulked to zero residual disease. She was discharged the following day ad had no post-operative complications. A robotic approach for staging and complete cytoreduction of locally advanced endometrial cancer is feasible with good postoperative and oncological outcome. This vidoe presents a step by step aproach for handeling these challenging cases.