1948 Robotic Type II B Posterior Exenteration for Recurrent Vaginal Cancer

Video Objective To demonstrate a surgical video where-in a robotic-assisted posterior pelvic exenteration was performed in a case of recurrent vaginal cancer. Setting A tertiary referral center. Interventions We present a case of a 55 year-old Hispanic female with a history of stage II squamous cell vaginal carcinoma. She was initially treated with concurrent chemotherapy (cisplatin) and radiation (pelvic and vaginal) in 2016. She had a biopsy proven isolated recurrence located in posterior aspect of upper third of the vagina. A robotic type II B posterior pelvic exenteration is demonstrated step by step in this video. Besides the technical aspects of the procedure, pelvic anatomic landmarks have also been emphasized. Conclusion Robotic approach to highly morbid pelvic exenteration procedures should be considered in selected patients with recurrent gynecologic malignancies, who present without evidence of distant metastatic disease.