VM56 - Robotic Total Pelvic Exenteration with Intracorporeal Ileal Urinary Conduit

Saturday, June 1, 2024

10:00 AM – 1:30 PM ET, USA

Location: Baltimore Convention Center, Hall BCD

Video Presentation(s)

AS

Ankit Sharma, MS MCH SURGICAL ONCOLOGY

CONSULTANT , DIVISION OF COLORECTAL AND ROBOTIC SURGERY TATA MEMORIAL HOSPITAL
HOMI BHABHA NATIONAL INSTITUTE
Tata Memorial Hospital, Mumbai
MUMBAI, Maharashtra, India

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

Author(s)

Tejas P. Vispute, MS, MCh

Clinical Fellow, Dept of Colorectal and Robotic Surgery
Tata Memorial Center, Homi Bhabha National Institute, Mumbai
Tata Memorial Center and Homi Bhabha National Institute, Mumbai
Mumbai, Maharashtra, India

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.
SS

Sanjay Singh, MS, MCh

Clinical Fellow, Dept of Colorectal and Robotic Surgery
Tata Memorial Centre, Homi Bhabha National Institute
TATA MEMORIAL HOSPITAL
Mumbai, Maharashtra, India

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.
YOGESH K. BANSOD, MS, MCH (SURGICAL ONCOLOGY) (he/him/his)

CLINICAL FELLOW IN DIVISION OF COLORECTAL AND ROBOTIC SURGERY , TATA MEMORIAL HOSPITAL MUMBAI
HOMI BHABHA NATIONAL INSTITUTE
TATA MEMORIAL HOSPITAL , HOMI BHABHA NATIONAL INSTITUTE PAREL MUMBAI.
MUMBAI, Maharashtra, India

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.
MK

Mufaddal K. Kazi, MS, MCh

Associate Professor
Tata Memorial Hospital
Mumbai, Maharashtra, India

Disclosure information not submitted.
Ad

Ashwin deSouza, MS, MCh, MRCSEd, DNB, FCPS, MNAMS

Professor & Surgeon
Tata Memorial Centre & Homi Bhabha National Institute, Mumbai, India
Mumbai, Maharashtra, India

Disclosure information not submitted.

Senior Author(s)

Avanish P. Saklani, MS, FRCS

Professor and Chief of Colorectal Services
Tata Memorial Hospital, Mumbai
Tata Memorial hospital , Mumbai
Mumbai, Maharashtra, India

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

Purpose/Background: Robotic surgery for locally advanced rectal cancer is feasible with acceptable oncological outcomes and minimal blood loss and decreased abdominal wound complication. In our own series of exenteration, recurrence free survival is similar in MIS and open approach. Oligometastatic on presentation, aggressive histology and poor response to NACRT predicted worse recurrence free survival. We demonstrate video on robotic total pelvic exenteration with intracorporeal ideal urinary conduit formation.

Methods/Interventions: 37 yr old gentleman diagnosed with locally advanced low rectal cancer. Lesion was abutting the prostate without invasion. He received concurrent chemo radiation (45 Gy in 28 # with Capecitabine). Response scan showed stable disease with persistent abutment of the prostate. Patient was planned for Robotic TPE

Results/Outcomes: Duration of surgery was 7 hrs
Docking time was 8 mins
Console time was 5 hrs and 30 mins
Patient had an uneventful post operative recovery and was discharged on post op day 10. Histopathology report was suggestive of residual disease with negative margins

Conclusion/Discussion: Conclusion - MIS approach for locally advanced rectal cancer can be safely followed without affecting oncological outcomes with better postoperative recovery and minimal complication.

Reference:
Kazi M, Desouza A, Nashikkar C, Saklani A. Minimally invasive surgery for maximally invasive tumors: pelvic exenterations for rectal cancers. J Minim Invasive Surg. 2022 Dec 15;25(4):131-138. doi: 10.7602/jmis.2022.25.4.131. PMID: 36601490; PMCID: PMC9763485.