Technique of the laparoscopic pelvic exenteration
Background: Laparoscopic surgery has proved itself to be a “golden standard” for treatment of most abdominal and retroperitoneal cancers. Such a serious procedure as pelvic exenteration continues to be a complex surgical intervention usually performed through a conventional laparotomic access. Howe...
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| Format: | Article |
| Language: | Russian |
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MONIKI
2018-11-01
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| Series: | Alʹmanah Kliničeskoj Mediciny |
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| Online Access: | https://www.almclinmed.ru/jour/article/view/902 |
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| author | E. A. Galliamov R. G. Biktimirov V. P. Sergeev L. N. Aminova A. E. Sanzharov M. A. Agapov D. I. Volodin Е. E. Gallyamov G. Yu. Gololobov |
| author_facet | E. A. Galliamov R. G. Biktimirov V. P. Sergeev L. N. Aminova A. E. Sanzharov M. A. Agapov D. I. Volodin Е. E. Gallyamov G. Yu. Gololobov |
| author_sort | E. A. Galliamov |
| collection | DOAJ |
| description | Background: Laparoscopic surgery has proved itself to be a “golden standard” for treatment of most abdominal and retroperitoneal cancers. Such a serious procedure as pelvic exenteration continues to be a complex surgical intervention usually performed through a conventional laparotomic access. However, studies on minimally invasive approach for this intervention have becoming increasingly published in the world literature.Aim: To describe the laparoscopic pelvic exenteration technique of pelvic exenteration, as well as to assess short- and long-term results of these interventions.Materials and methods: From 2011 to 2018, 21 procedures of laparoscopic pelvic exenteration have been performed in 6 surgical centers (Moscow, Russia). Six (6) patients had previously confirmed cervical cancer, 7 patients had bladder cancer, 4 patients had rectal cancer, 1 patient had vaginal cancer, 2 patients had relapsing vaginal cancers after previous uterine extirpation, and 1 patient had an ovarian neoplasm.Results: The laparoscopic pelvic exenteration volumes were as follows: 9 total, 7 anterior and 5 posterior procedures. In 19 out of 21 cases, negative resection margin (R0) was possible. Median duration of the procedure was 254 minutes, median blood loss was 515 ml, and median postoperative hospital stay was 13 days. Postoperative complications were registered in 6 (28.6%) patients. The 3-year overall survival was 85.71%.Сonclusion: The choice of laparoscopic access can reduce blood loss, decrease the rates of early postoperative complications, contributes to a more comfortable postoperative period with early activation and less severe pain syndrome, and leads to a reduction in the duration of hospital stay. These results of the laparoscopic technique are comparable with those of laparoscopic and open pelvic exenteration published by other authors. |
| first_indexed | 2024-12-19T16:28:05Z |
| format | Article |
| id | doaj.art-b3e481b80d82407dae0894489473415c |
| institution | Directory Open Access Journal |
| issn | 2072-0505 2587-9294 |
| language | Russian |
| last_indexed | 2024-12-19T16:28:05Z |
| publishDate | 2018-11-01 |
| publisher | MONIKI |
| record_format | Article |
| series | Alʹmanah Kliničeskoj Mediciny |
| spelling | doaj.art-b3e481b80d82407dae0894489473415c2022-12-21T20:14:17ZrusMONIKIAlʹmanah Kliničeskoj Mediciny2072-05052587-92942018-11-0146663163910.18786/20720505-2018-46-6-631-639577Technique of the laparoscopic pelvic exenterationE. A. Galliamov0R. G. Biktimirov1V. P. Sergeev2L. N. Aminova3A. E. Sanzharov4M. A. Agapov5D. I. Volodin6Е. E. Gallyamov7G. Yu. Gololobov8I.M. Sechenov First Moscow State Medical University (Sechenov University)Clinical Center of Advanced Medical Technologies of the Federal Medical and Biological AgencyState Research Center – Burnasyan Federal Medical Biophysical Center of the Federal Medical and Biological AgencyJoint Stock Company "Medsi group"Federal Scientific and Clinical Center for Specialized Methods of Medical Care and Medical Technologies of the Federal Medical and Biological AgencyLomonosov Moscow State University Medical Research and Educational Center (Lomonosov University Clinic)State Research Center – Burnasyan Federal Medical Biophysical Center of the Federal Medical and Biological AgencyFederal Scientific and Clinical Center for Specialized Methods of Medical Care and Medical Technologies of the Federal Medical and Biological AgencyI.M. Sechenov First Moscow State Medical University (Sechenov University)Background: Laparoscopic surgery has proved itself to be a “golden standard” for treatment of most abdominal and retroperitoneal cancers. Such a serious procedure as pelvic exenteration continues to be a complex surgical intervention usually performed through a conventional laparotomic access. However, studies on minimally invasive approach for this intervention have becoming increasingly published in the world literature.Aim: To describe the laparoscopic pelvic exenteration technique of pelvic exenteration, as well as to assess short- and long-term results of these interventions.Materials and methods: From 2011 to 2018, 21 procedures of laparoscopic pelvic exenteration have been performed in 6 surgical centers (Moscow, Russia). Six (6) patients had previously confirmed cervical cancer, 7 patients had bladder cancer, 4 patients had rectal cancer, 1 patient had vaginal cancer, 2 patients had relapsing vaginal cancers after previous uterine extirpation, and 1 patient had an ovarian neoplasm.Results: The laparoscopic pelvic exenteration volumes were as follows: 9 total, 7 anterior and 5 posterior procedures. In 19 out of 21 cases, negative resection margin (R0) was possible. Median duration of the procedure was 254 minutes, median blood loss was 515 ml, and median postoperative hospital stay was 13 days. Postoperative complications were registered in 6 (28.6%) patients. The 3-year overall survival was 85.71%.Сonclusion: The choice of laparoscopic access can reduce blood loss, decrease the rates of early postoperative complications, contributes to a more comfortable postoperative period with early activation and less severe pain syndrome, and leads to a reduction in the duration of hospital stay. These results of the laparoscopic technique are comparable with those of laparoscopic and open pelvic exenteration published by other authors.https://www.almclinmed.ru/jour/article/view/902laparoscopic pelvic exenterationlocally advanced pelvic cancerrecurrent pelvic cancer |
| spellingShingle | E. A. Galliamov R. G. Biktimirov V. P. Sergeev L. N. Aminova A. E. Sanzharov M. A. Agapov D. I. Volodin Е. E. Gallyamov G. Yu. Gololobov Technique of the laparoscopic pelvic exenteration Alʹmanah Kliničeskoj Mediciny laparoscopic pelvic exenteration locally advanced pelvic cancer recurrent pelvic cancer |
| title | Technique of the laparoscopic pelvic exenteration |
| title_full | Technique of the laparoscopic pelvic exenteration |
| title_fullStr | Technique of the laparoscopic pelvic exenteration |
| title_full_unstemmed | Technique of the laparoscopic pelvic exenteration |
| title_short | Technique of the laparoscopic pelvic exenteration |
| title_sort | technique of the laparoscopic pelvic exenteration |
| topic | laparoscopic pelvic exenteration locally advanced pelvic cancer recurrent pelvic cancer |
| url | https://www.almclinmed.ru/jour/article/view/902 |
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