Laparoscopic pelvic evisceration in male and female patients

Автор: Galliamov E.A., Agapov M.A., Biktimirov R.G., Sergeev V.P., Sanzharov A.E., Kochkin A.D., Volodin D.I., Malahov P.S., Gololobov G. Yu., Kakotkin V.V.

Журнал: Хирургическая практика @spractice

Рубрика: Статьи

Статья в выпуске: 1 (41), 2020 года.

Бесплатный доступ

Treatment of patients with primary and recurrent locally advanced pelvic tumors represents an extremely complex problem of surgical oncology.Aim: to evaluate perioperative and long-term postoperative results of laparoscopic pelvic exenteration technique.Material and methods: in the period from 2011 to 2018, 21 pelvic exenteration was performed with laparoscopic access, (mean age 59.79 ± 8.5), sex distribution: 17 women and 4 men. Nosology distribution: in 6 patients cervical cancer was verified, 7 patients had bladder cancer, 4 patients had rectal cancer, 1 patient had vaginal cancer, 2 patients had recurrence of vaginal cancers after previous uterine extirpation and 1 patient with ovarian neoplasm.Results: the volume of the exenteration was as follows: 9 total, 7 anterior and 5 posterior. In all cases, it was possible to achieve a negative margin of resection line (R0). The duration of the operation, the volume of blood loss, the frequency and nature of intra- and postoperative complications were evaluated.Conclusion: laparoscopic access is accompanied by a smaller amount of blood loss, decrease of frequency of early postoperative complications, contributes to more comfortable postoperative period with early activation, less severe pain syndrome and leads to a reduction in the duration of inpatient treatment.

Еще

Laparoscopic exenteration of the pelvis, locally advanced pelvic cancer, recurrent pelvic cancer

Короткий адрес: https://sciup.org/142226475

IDR: 142226475   |   DOI: 10.38181/2223-2427-2020-1-15-23

Статья научная