Laparoscopic total pelvic exenteration for cervical cancer relapse
| Autor: | J.L Bourgain, Philippe Morice, Lucas Sideris, Pierre Duvillard, A. Thoury, Damienne Castaigne, Christophe Pomel, Marc Pocard, Roman Rouzier |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Rectum Uterine Cervical Neoplasms Anastomosis Vulva medicine Humans Laparoscopy Cervical cancer medicine.diagnostic_test Pelvic exenteration business.industry Obstetrics and Gynecology medicine.disease Endoscopy Surgery Pelvic Exenteration medicine.anatomical_structure Oncology Vagina Carcinoma Squamous Cell Female Neoplasm Recurrence Local business |
| Zdroj: | Gynecologic oncology. 91(3) |
| ISSN: | 0090-8258 |
| Popis: | Background Laparoscopy classically reduces morbidity and invasiveness. To decrease the operative morbidity associated with exenteration, we considered the possibility of performing a total pelvic exenteration by the laparoscopic approach. Case A 34-year-old woman presented with a cervical cancer relapse. The bladder, uterus, vagina, ovaries, and rectum were mobilized en bloc from the pelvic sidewall. We used vascular endoscopic staplers for the control of sigmoid vessels and anterior branches of internal iliac vessels. The specimen was removed through the vulva. A colo-anal anastomosis and an ileal-loop conduit for urinary tract diversion were made. The operative time was 9 h. The postoperative course was uneventful. Specimen margins were free of disease. Conclusion With laparoscopic surgical knowledge and new endoscopic staplers, laparoscopic pelvic exenteration procedure is feasible. |
| Databáze: | OpenAIRE |
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