Robotic Lateral Pelvic Sidewall Dissection and Anterior Resection with en Bloc Hysterectomy, Selective Ligation of Right Internal Iliac Artery Branches and Right Ureteric Resection.

Abstract

This video demonstrates a robotic ultralow anterior resection, enbloc hysterectomy, unilateral ureterectomy and pelvic side wall clearance with selective anterior internal iliac artery resection. This video also demonstrates how use of the robot in selected cases in this setting can facilitate a minimally invasive approach to a beyond TME resection, with advantages in visualisation of tissue planes and patient recovery. Use of the robot was planned preoperatively for the pelvic dissection and for ureteric reimplantation using a multispecialty robotic skillset to deliver a minimally invasive approach. This video shows the feasibility of beyond TME resection using the Da Vinchi Xi robotic platform.