title: Robotic total pelvic exenteration with laparoscopic rectus flap: initial experience.
abstract: Total pelvic exenteration is a highly morbid procedure performed for locally advanced pelvic malignancies. We describe our experience with three patients who underwent robotic total pelvic exenteration with laparoscopic rectus flap and compare perioperative characteristics to our open experience. Demographic, tumor, operative, and perioperative factors were examined with descriptive statistics reported. Mean operative times were similar between the two groups. When compared to open total pelvic exenteration cases (n = 9), median estimated blood loss, ICU stay, and hospital stay were all decreased. These data show robotic pelvic exenteration with laparoscopic rectus flap is technically feasible. The surgery was well tolerated with low blood loss and comparable operative times to the open surgery. Further study is needed to confirm the oncologic efficacy and the suggested improvement in surgical morbidity.
authors.affiliation: Department of Urology, University of Washington School of Medicine, Seattle, WA 98195, USA.
authors.forename: Brian R
authors.initials: BR
authors.lastname: Winters
authors.affiliation: Department of General Surgery, University of Washington School of Medicine, Seattle, WA 98195, USA.
authors.forename: Gary N
authors.initials: GN
authors.lastname: Mann
authors.affiliation: Department of Plastic Surgery, University of Washington School of Medicine, Seattle, WA 98195, USA.
authors.forename: Otway
authors.initials: O
authors.lastname: Louie
authors.affiliation: Department of Urology, University of Washington School of Medicine, Seattle, WA 98195, USA ; Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
authors.forename: Jonathan L
authors.initials: JL
authors.lastname: Wright