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Robotic Assisted Laparoscopic Total Pelvic Exenteration
Sanjay S. Reddy^*1, Radhika K. Smith¹, Rosalia Viterbo², Cynthia a. Bergman³, Eric I. Chang⁴, Jeffrey M. Farma^1
1Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA; ²Urologic Oncology, Fox Chase Cancer Center, Philadelphia, PA; ³Gynecologic Oncology, Fox Chase Cancer Center, Philadelphia, PA; ⁴Plastic and Reconstructive Surgery, Fox Chase Cancer Center, Philadelphia, PA

The purpose of this video is to demonstrate the technique of a total pelvic exenteration using a robotic assisted laparoscopic approach with gracilis flap reconstruction.
We present a case of a woman with recurrent anal squamous cell carcinoma invading the vagina and urethra. She had previously received chemoradiotherapy and presented with a recurrence. This procedure was done in coordination with surgical oncology, urology, gynecologic oncology, and plastic and reconstructive surgery. We present this multidisciplinary, minimally invasive approach to pelvic exenteration as a safe and effective modality of surgical therapy.

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