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A RETROSPECTIVE ANALYSIS OF ROBOTIC PELVIC CLEARANCE/PELVIC EXENTERATION IN LOCALLY ADVANCED RECTAL CANCER
saumya singh
*Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
Key Words: Robotic Surgery, Pelvic clearance, pelvic exenteration
Introduction: Originally intended as palliative procedure, the pelvic exenteration surgeries
have significantly evolved for Locally advanced as well as recurrent rectal cancers. Emergence
of Robotic assisted technologies have revolutionized minimally invasive approach to Total
Mesorectal Excision (TME) as well as multi-visceral pelvic exenteration. The ascertained
benefits of robotic system in terms of three-dimensional (3D) vision, enhanced ergonomics,
elimination of tremors as well as dependable instrument dexterity leading to a precise and
controlled anatomical dissection has led to surge in adoption of robotic system in complex
pelvic surgery.
Method: The authors present this Retrospective analysis of Robotic posterior pelvic
clearance/Pelvic exenteration and other complex pelvic surgeries performed in patients of
locally advance/recurrent rectal cancers. For this study, a rigorous and exhaustive search was
performed using Search Engines i.e., PubMed central, Google scholar, EMBASE and Cochrane
database. Data was statistically analysed using validated statistical tools.
Conclusion: This analysis supports the evidence that as a part of multidisciplinary approach,
robot assisted pelvic exenteration is feasible and safe in patients with locally advanced
/recurrent rectal cancers. It can be applied to enhance patients early post-op recovery
without compromising ontologically clear margins, retaining the benefits of MIS, while
performing multi-visceral surgery with greater precision and control.
Fish Bone Analysis
Outcome Table
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