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Behind The Knife: The Surgery Podcast

Pelvic Exenteration Surgery Series Episode 2: Anterior compartment tumors

Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.81.4K Ratings

🗓️ 26 October 2023

⏱️ 28 minutes

🧾️ Download transcript

Summary

Join Professor Michael Solomon, Dr Kilian Brown and Dr Jacob Waller from Royal Prince Alfred Hospital in Sydney, Australia, for this special four part series on pelvic exenteration surgery for locally advanced and recurrent rectal cancer. Learn about these ultra-radical procedures which go beyond the traditional TME planes that we learn during surgical training, and into all compartments of the pelvis.

Episode 2 outlines the radical technical approaches to anteriorly invasive tumours, including en bloc cystectomy, perineal urethrectomy, inter-labial vaginectomy and radical pubic bone resections.

Each episode in this series features a different international guest surgeon. In episode 2, the RPA team are joined by Dr Paul Sutton from The Christie Hospital, Manchester, UK.

Technical videos:
Solomon MJ, Däster S, Loizides S, Sutton P, Brown KGM, Austin KKS, Lee PJ. Access to the anterior pelvic compartment in pelvic exenteration in women-the interlabial approach: video vignette. Br J Surg. 2021 Aug 19;108(8):e268-e269. doi: 10.1093/bjs/znab127.

Solomon MJ, Alahmadi R, Lee PJ, Austin KKS. En bloc partial pubic bone excision with complete soft tissue pelvic exenteration. Br J Surg. 2022 Jun 14;109(7):640-641. doi: 10.1093/bjs/znac122. PMID: 35485605.

References:
Solomon MJ, Austin KK, Masya L, Lee P. Pubic Bone Excision and Perineal Urethrectomy for Radical Anterior Compartment Excision During Pelvic Exenteration. Dis Colon Rectum. 2015 Nov;58(11):1114-9. doi: 10.1097/DCR.0000000000000479.

Check our more high-yield colorectal surgery content from Behind the Knife.

Transcript

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0:00.0

Behind the knife, the surgery podcast, relevant and engaging content designed to help you

0:12.0

dominate the day.

0:22.2

Welcome back behind-and-eye listeners to part two of this series on pelvic ex-enterration

0:26.4

surgery for locally advanced and recurrent rectal cancer.

0:30.0

This special four-part series is brought to you by Behind the Knife and the Department

0:33.7

of Colorectal Surgery at Royal Prince Alfred Hospital or RPA as we know it locally here

0:39.0

in Sydney, Australia.

0:41.2

My name is Killian Brown and I'm a colorectal surgery fellow at RPA and I'm once again

0:45.3

joined by my colleague Dr. Jacob Waller who is a registrar and advanced trainee in general

0:49.9

surgery as well as Professor Michael Solomon who's head of the pelvic ex-enterration program.

0:56.6

Those of you who joined us last time will know that for each of the four episodes in this

1:00.0

series we have invited a different international expert and ex-enterration surgery to join us

1:04.8

for the discussion and today it's my pleasure to welcome Dr. Paul Sutton.

1:09.6

Dr Sutton is a colorectal surgeon with a strong interest in pelvic ex-enterration surgery

1:14.6

at the colorectal and peritoneal oncology center at the Christie Hospital in Manchester

1:20.1

which is the largest single site comprehensive cancer center in Europe.

1:24.2

Dr. Sutton is also an honorary senior lecturer in cancer sciences at the University of Manchester

1:29.4

and serves as an associate editor at the British Journal of Surgery.

1:34.0

Paul's a previous RPA fellow and since returning to the UK has become a regular collaborator

1:39.1

and a good friend to all of us and so Paul it's great to see you, welcome to the episode

1:42.8

and welcome back to RPA.

1:45.4

Thanks very much, great to see you all, great to be here part of this episode, thanks.

...

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