title: Entirely robotic total pelvic exenteration.
abstract: OBJECTIVE
  We present an entirely robotic total pelvic exenteration and extended lymphadenectomy with "barreled ureterocutaneostomy" and end colostomy for recurrent endometrial cancer. In 1948, Brunschwig first described a pelvic exenteration as treatment of advanced recurrent malignancy in the pelvis. Currently it represents the only potentially curative option for patients with recurrent endometrial cancer.
  
  
  METHODS
  A 69-year-old female with perineal recurrence invading urethral and vaginal walls, lower rectum and anal sphincter was the perfect candidate for total pelvic exenteration.
  
  
  RESULTS
  Total operative time was 250 minutes, with a console time of 175 minutes. The estimated blood loss was 365 mL.
  
  
  CONCLUSIONS
  Good oncological results are expected after robotic total pelvic exenteration owing to the accurate, precise dissection and the extension of lymphadenectomy in the narrow space of the deep pelvis similar to robotic prostatectomy and total mesorectal excision.
authors.affiliation: Fundeni Institute of Digestive Disease and Liver Transplantation, Bucharest, Romania. catvasilescu@gmail.com
authors.forename: Catalin
authors.initials: C
authors.lastname: Vasilescu
authors.forename: Stefan
authors.initials: S
authors.lastname: Tudor
authors.forename: Monica
authors.initials: M
authors.lastname: Popa
authors.forename: Brindusa
authors.initials: B
authors.lastname: Aldea
authors.forename: Gabriel
authors.initials: G
authors.lastname: Gluck
mesh_terms: D000368:Aged; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000601:surgery*; D009367:Neoplasm Staging; D010385:Pelvic Exenteration / Q000379:methods*; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D012371:Robotics; D014516:Ureteral Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*