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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2022, Vol. 15 ›› Issue (04): 249-251. doi: 10.3877/cma.j.issn.1674-6899.2022.04.013

• Case Report • Previous Articles    

Da Vinci robot MDT mode total pelvic exenteration in the treatment of advanced cervical cancer: a case report

Yunyue Liu1, Wensheng Fan1, Chenglei Gu1, Xin Ma2, Hongyi Liu3, Yuanguang Meng1,()   

  1. 1. Department of Obstetrics and Gynecology; The Seventh Medical Center; General Hospital of the People′s Liberation Army, Beijing 100007, China.
    2. Department of Urology, The Third Medical Center, General Hospital of the People′s Liberation Army, Beijing 100039, China.
    3. Department of General Surgery, First Medical Center, PLA General Hospital, Beijing 100853, China
  • Received:2022-04-10 Online:2022-08-30 Published:2022-10-25
  • Contact: Yuanguang Meng

Abstract:

Objective

To summarize the technical experience of one case da Vinci robot multi-disciplinary team (MDT) model of total pelvic exenteration for advanced cervical cancer and to explore the feasibility of this medical model in the treatment of such diseases.

Methods

The clinical data and treatment process of a patient with stage ⅣA cervical cancer in the Department of Obstetrics and Gynecology of the PLA General Hospital in Sep. 2021 were retrospectively analyzed.

Results

After MDT consultation and preoperative preparation, the patient underwent robotic total pelvic contouring (extensive total hysterectomy, bilateral adnexal resection + parietal aortic lymph node biopsy + total bladder, partial urethra, right kidney and right ureter resection + anterior rectal resection) with smooth operation and no serious complications in the perioperative period, and good recovery without recurrence in the six-month postoperative follow-up.

Conclusions

Minimally invasive da Vinci robotic surgery is safe and feasible for the treatment of some patients with indicated advanced cervical cancer, capable of achieving R0 resection, and the use of MDT medical model can help benefit such patients and is worthy of reference.

Key words: Robotic surgery, Pelvic exenteration, Advanced cervical cancer, Multi-disciplinary team

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