ORIGINAL RESEARCH article
Front. Oncol.
Sec. Surgical Oncology
Single-Port Robotic-Assisted Wet Colostomy After Total Pelvic Exenteration: A Feasibility Video Report
Provisionally accepted
Carlo Ronsini*
Maria Cristina Solazzo*
Mariano Catello Di DonnaGiuseppe CucinellaCono ScaffaVito Chiantera- Istituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, Italy
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Background: Total pelvic exenteration (TPE) is a radical procedure involving the en bloc removal of pelvic organs. Among reconstructive strategies, wet colostomy—a single conduit for both urinary and fecal diversion—offers advantages such as reduced operative time and lower risk of ureteral anastomotic complications. Objective: To describe a case of wet colostomy performed entirely using a single-port robotic-assisted approach (SP), demonstrating the feasibility of this minimally invasive technique. Methods: A case report study was conducted at the Gynecologic Oncology Unit of the Istituto Nazionale Tumori "Fondazione Pascale" in Italy. A pelvic recurrence of endometrial cancer was treated using the Da Vinci SP® robotic system. The voice-commented video article details both the TPE and reconstructive procedures. Primary outcomes included technical description, operative time, hospital stay, and blood transfusions. Results: In January 2025, a 68-year-old woman with pelvic recurrence of endometrial carcinoma underwent robotic-assisted TPE with wet-colostomy. The procedure lasted 320 minutes, with an estimated blood loss of 50 cc, requiring no transfusion. The patient was discharged on postoperative day 4 without complications within the first 30 days. Conclusion: This is the first reported case of TPE with robotic SP-assisted wet colostomy. The video illustrates the surgical strategy and highlights the feasibility of this innovative technique.
Keywords: Endometrial cancer recurrence, Minimally Invasive reconstruction, Single-port robotic surgery, Total pelvic exenteration, Wet Colostomy
Received: 05 Sep 2025; Accepted: 09 Dec 2025.
Copyright: © 2025 Ronsini, Solazzo, Di Donna, Cucinella, Scaffa and Chiantera. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Carlo Ronsini
Maria Cristina Solazzo
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