Minimally Invasive Pelvic Exenteration in Vaginal or Cervical Cancer Recurrence

This study tests a minimally invasive surgical approach (laparoscopic or robotic) for pelvic exenteration — a major surgery to remove cancer that has returned in the pelvis — in women with recurrent vaginal or cervical cancer. **You may be eligible if...** - You have been diagnosed with recurrent or persistent vaginal or cervical cancer - The cancer is confirmed as squamous cell, adenocarcinoma, or adenosquamous type - The cancer is limited to the central pelvis (has not spread outside) - The tumor measures no more than 50mm on MRI - You are over 18 and in adequate health for surgery **You may NOT be eligible if...** - Your cancer has spread beyond the central pelvis (to lymph nodes or other organs) - You have previously had pelvic exenteration surgery - You are pregnant - You have serious medical conditions that make major surgery unsafe Talk to your doctor to see if this trial is right for you.