Robotic pelvic exenteration in males: systematization of the technique

Abstract

Male pelvic exenteration is a challenging procedure with high morbidity. In very selected cases, the robotic approach could make dissection easier and decrease morbidity due to the better vision provided and higher range of movements. In this paper, we describe port placement, instruments, minilaparotomy location, and the stepwise sequence of these procedures. We address 3 different situations: total pelvic exenteration with abdominoperineal resection, colostomy and urostomy; pelvic exenteration with colorectal/anal anastomosis and urostomy; and pelvic exenteration with abdominoperineal resection, colostomy and urinary tract reconstruction.

Keywords: Abordaje robótico de la pelvis; Cirugía del cáncer de recto; Cirugía mínimamente invasiva; Cirugía robótica; Exenteración; Exenteración masculina; Exenteración pélvica; Exenteración robótica; Exenteration; Male exenteration; Minimally invasive surgery; Pelvic exenteration; Rectal cancer surgery; Robotic approach of the pelvis; Robotic exenteration; Robotic surgery.