Clinical case of simultaneous laparoscopic sleeve gastrectomy and hysterectomy of uterine cancer female with morbid obesity
Автор: Samoylov V.S., Popov V.V., Moshurov I.P., Mihaylov A.A., Gorbunova K.I., Stepanenko A.V.
Журнал: Московский хирургический журнал @mossj
Рубрика: Клинические случаи
Статья в выпуске: 4 (74), 2020 года.
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Introduction: endometrial cancer has a direct correlation with obesity. Risks of this type of cancer increase with the body weight gain and expected response to treatment becomes less favorable. Significant and persistent weight loss of hysterocarcinoma female with morbid obesity has a positive impact on oncological results, further quality of life, state of comorbidity. Laparoscopic hysterectomy is a priority treatment of early endometrial cancer. Bariatric surgery is considered to be the most effective and radical method of morbid obesity correction.Clinical case: the cases of bariatric surgery to influence positively the results of carcinoma treatment outcome before and after the main stage have increased recently. An experience of concurrent simultaneous radical surgery of cancer and morbid obesity correction is isolated worldwide nowadays. We would like to present the clinical case of concurrent laparoscopic sleeve gastrectomy and laparoscopic hysterectomy of a 45-year-old female patient with endometrial carcinoma stage IA, morbid obesity and 2 type diabetes mellitus. The short-term results of this case are 21,2% overweight loss within 2 months, sustained remission of diabetes mellitus, clinical group III.Discussion: the described case is theoretically justified and has, although few, practical prototypes that appear in publications of recent years after successful clinical application.Conclusion: the current small world experience of such cases requires further accumulation and development of practical aspects and a more detailed study of this topic.
Endometrial cancer, minimally invasive hysterectomy, bariatric surgery, morbid obesity, sleeve gastrectomy
Короткий адрес: https://sciup.org/142230007
IDR: 142230007 | DOI: 10.17238/issn2072-3180.2020.4.82-94