Robotic Abdominoperineal Resection With Robotic Flap Harvest for Vaginal Reconstruction

Robotic Abdominoperineal Resection With Robotic Flap Harvest for Vaginal Reconstruction

Although technically challenging, robotic abdominoperineal resection (APR) with robotic harvest of the rectus abdominus muscular flap can eliminate the need for a midline laparotomy, reduce wound infection rates, lead to faster recovery and less narcotic use, and lower the risk for incisional hernia in patients undergoing surgery for recurrent rectal cancer. This video profiles a recent case at the Medical University of South Carolina (MUSC) performed by Virgilio V. George, M.D., Section Head of Colorectal Surgery, colorectal surgeon Pinckney J. Maxwell, M.D., and plastic surgeon Kevin O. Delaney, M.D. Surgical resident Gabriel R. Chedister, M.D., narrates endoscopic and other footage from the case, including surgical photographs showing trocar placement for both the APR and the robotic flap harvest.


Published

June 22, 2018

Created by

The Medical University of South Carolina

Related Presenters

Virgilio George, MD

Virgilio George, MD

Dr. George leads the multidisciplinary team to obtain a center of excellence for rectal cancer.

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Pinckney Maxwell, MD

Pinckney Maxwell, MD

Dr. Maxwell specializes in the surgical treatment of diseases of the colon, rectum and anus.

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Kevin Delaney, MBA, MD

Kevin Delaney, MBA, MD

Dr. Delaney is currently an assistant professor of plastic and reconstructive surgery at the Medical University of South Carolina.