Society for Surgery of the Alimentary Tract
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ROBOTIC-ASSISTED CYTOREDUCTIVE SURGERY: ACHIEVING A COMPLETE CYTOREDUCTION
Jessica A. Steadman*, Travis E. Grotz
General Surgery, Mayo Clinic Minnesota, Rochester, MN

Cytoreductive surgery for peritoneal metastases can result in long-term survival in patients with gastrointestinal and gynecologic malignancies. CRS is traditionally performed via laparotomy but the morbidity of such operations remains a major limiting factor.
In this video we present the operative technique for achieving a complete cytoreduction (CC0) using the robotic DaVinci Xi platform. Omentectomy is performed first. The small bowel and its mesentery is inspected and any suspicious nodules resected. Select peritonectomies are performed of all surfaces involved by tumor.
In conclusion, CC0 can be achieved via robotic-CRS without compromising oncologic outcomes.


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