MDT pattern in robotic-assisted gynaecological surgeries
As shown in Figure S1, the operation performed by surgeons from
non-gynaecological departments was a crucial part in robotic-assisted
MDT gynaecological surgeries. For general surgery department, surgeons
repair intestinal damage and relieve severe intestinal adhesions. When
the metastasis was deeply infiltrated into the intestine, intestinal
resection and anastomosis or enterostomy would be performed (Fig. S1A,
B). Urological surgeons could help deal the metastasis on inferior vena
cava (Fig. S1C). The ureters were the organs that required particular
attention in gynaecological surgery. Urological surgeons resected
ureteral lesions and completed the anastomosis because tumor metastasis
or endometriosis tissue were often observed on the ureters (Fig. S1D).
Meanwhile, partially liver resection often performed by hepatological
surgeons to achieve R0 resection (Fig. S1E, F). Vascular damage needed
surgical repair by vascular surgeons, but rapid and massive bleeding
often lead to blurred vision so that they often transferred into open
surgeries to accomplish vascular anastomosis (image not shown).
Gynaecological surgeons carried out the major resection first and then
other cooperative surgeons finished the procedures described above.