Initial experience of robotic anterior pelvic exenteration at a single institute.
OBJECTIVE
To present the initial experience with robotic anterior pelvic exenteration in patients with advanced pelvic cancer at Galaxy Care Laparoscopy Institute, Pune, India.


METHODS
A retrospective chart review of data from 10 patients with advanced cervical carcinoma and bladder involvement or with vault recurrence following hysterectomy who were treated at the study hospital between November 2009 and May 2011. Clinicopathologic data and postoperative data including operative time, blood loss, blood transfusions, hospital stay, lymph node yield, and complications were recorded.


RESULTS
The mean operative time was 180 minutes, the mean blood loss was 110mL, and the mean duration of hospital stay was 5 days. There were no treatment-related morbidities or mortalities. A mean parametrial clearance of 3cm with a distal vaginal margin of 3.5cm was achieved. All patients had tumor-free margins. The mean number of harvested lymph nodes was 24. Six patients had positive lymph nodes on pathologic examination and were treated with chemoradiotherapy. At a median follow-up of 11 months, 8 patients were disease-free.


CONCLUSIONS
Robot-assisted anterior pelvic exenteration had favorable operative, pathologic, and short-term clinical outcomes. A large multicenter study is required to confirm the results.
Department of Surgical Oncology and Minimal Access Surgery, Galaxy Care Laparoscopy Institute, Pune, India. Electronic address: shase63@gmail.com.
Shailesh
S
Puntambekar
Department of Surgical Oncology and Minimal Access Surgery, Galaxy Care Laparoscopy Institute, Pune, India.
Akhil
A
Lawande
Department of Surgical Oncology and Minimal Access Surgery, Galaxy Care Laparoscopy Institute, Pune, India.
Riddhi
R
Desai
Department of Surgical Oncology and Minimal Access Surgery, Galaxy Care Laparoscopy Institute, Pune, India.
Seema
S
Puntambekar
Department of Surgical Oncology and Minimal Access Surgery, Galaxy Care Laparoscopy Institute, Pune, India.
Geetanjali A
GA
Joshi
Department of Surgical Oncology and Minimal Access Surgery, Galaxy Care Laparoscopy Institute, Pune, India.
Saurabh N
SN
Joshi
D002277:Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010385:Pelvic Exenteration / Q000379:methods / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012371:Robotics; D002583:Uterine Cervical Neoplasms / Q000601:surgery*
Minimally invasive exenterative surgery; Pelvic cancer; Pelvic exenteration; Robotics