Objective: The aim of this study was to evaluate the feasibility, morbidity and survival outcome of laparoscopy-assisted vaginal pelvic exenteration.
Methods: Since 2000, we have performed 5 cases of en-bloc pelvic exenteration combining a vaginal or perineal approach and laparoscopic approach. All patients had received previous pelvic irradiation. One patient underwent a total type II exenteration with ileal-loop diversion, an omental flap and a temporary colostomy. Two patients underwent a middle and posterior exenteration: one was a type III exenteration with perineal rectal resection and a gracilis myocutaneous flap; the second one was a type II exenteration with a colorectal anastomosis and a vaginal reconstruction using a gluteal thigh flap. Two patients underwent a type I anterior and middle exenteration with continent Miami pouch and vaginal reconstruction by omental cylinder.
Results: Mean time of the procedure was 6 h (range: 4.5-9). Peroperative bleeding was less than 500 cm3. Two patients presented minor complications: a perineal abscess after perineal rectal resection and an abdominal wound abscess. Mean length of hospital stay was 27 days. Three patients are free of disease. Two patients presented groin metastasis. One patient died of disease after 8 months.
Conclusion: Laparoscopic or laparoscopy-assisted vaginal pelvic exenteration followed by reconstruction is feasible with curative intent in selected patients.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ygyno.2005.09.027 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Safety of vaginal surgery for early-stage cervical cancer: A retrospective multicenter cohort study.
Eur J Surg Oncol
October 2024
McMaster University, Juravinski Cancer Center, Hamilton, Ontario, Canada; Tel Aviv University Faculty of Medicine, Tel Aviv, Israel.
Objective: Abdominal Radical hysterectomy (ARH) with pelvic lymph node assessment is considered the standard treatment for early-stage cervical cancer. Accepted routes have previously included laparoscopic or robotic approaches (LRH). Laparoscopy-assisted vaginal or vaginal radical hysterectomy (LVRH) are performed in some centers.
View Article and Find Full Text PDFComparison of survival outcome of open, total laparoscopic, and laparoscopy-assisted radical vaginal hysterectomy for stage IB2 cervical cancer patients: A multicenter retrospective study.
Medicine (Baltimore)
March 2024
Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Busan, Republic of Korea.
Article Synopsis
- The study aimed to evaluate the survival outcomes of three types of radical hysterectomy (TARH, TLRH, and LARVH) in patients with stage IB2 cervical cancer from 2010 to 2017.!
- A total of 194 patients were analyzed, and no significant differences were found in characteristics between the groups, although TLRH showed a significantly worse 5-year progression-free survival compared to TARH.!
- The findings indicate that, for patients with stage IB2 cervical cancer, TLRH is associated with poorer progression-free survival compared to TARH, while LARVH does not show a significant difference in outcome relative to TARH.!
Laparoscopic-assisted neo-cervico-vaginal anastomosis and neo-vagina creation in congenital atresia: A retrospective study measuring the outcome and success.
J Plast Reconstr Aesthet Surg
March 2024
AII India Institute of Medical Sciences, Patna, India. Electronic address:
Unlabelled: Cervico-vaginal agenesis is a developmental disorder classified as a Mullerian duct anomaly.
Study Objective: We aimed to study the surgical outcomes of vaginoplasty and laparoscopic-assisted cervical-vaginoplasty carried out using our set-up from June 2016 to December 2022. Additionally, we measured the success of our modified laparoscopy-assisted neo-cervical creation.
3D laparoscopic treatment of bladder cancer with pelvic multi-organ invasion: a case report and literature review.
Front Oncol
October 2023
Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou Guangdong, China.
Introduction: Radical cystectomy with dissection of pelvic lymph nodes and urethral diversion is the standard surgical treatment for muscle-invasive non-metastatic bladder cancer. In rare cases where patients with bladder cancer without distant metastasis have pelvic multi-organ invasion, the cancer compresses or invades the ureter and, in severe cases, leads to bilateral upper urinary tract obstruction and renal damage. The treatment recommended by guidelines often cannot improve the patients' clinical symptoms immediately, and patients cannot complete the treatment owing to severe side effects, resulting in poor survival benefits.
View Article and Find Full Text PDFA Comparative Analysis of Nondescent Vaginal Hysterectomy, Laparoscopy-Assisted Vaginal Hysterectomy, and Total Laparoscopic Hysterectomy for Benign Uterine Diseases at a Rural Tertiary Care Center.
Gynecol Minim Invasive Ther
August 2022
Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Etawah, Uttar Pradesh, India.
Objectives: The aim of this study was to compare operative data and postoperative complications among nondescent vaginal hysterectomy (NDVH), laparoscopy-assisted vaginal hysterectomy (LAVH), and total laparoscopic hysterectomy (TLH) at a rural tertiary care center.
Materials And Methods: This is a prospective analytical study, of 145 hysterectomies for benign conditions with or without salpingo-oophorectomy in women from 30 to 60 years, over 3 years from January 2016 to December 2019, with 60 cases of NDVH, 46 cases of LAVH, and 39 cases of TLH. The three groups were compared intraoperatively in terms of blood loss, operating time, and intraoperative complications and postoperative complications and postoperative duration of hospital stay.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!