Laparoscopic total pelvic exenteration for cervical cancer relapse

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. A 34-year-old woman presented with a cervical cancer relapse. The bladde...

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Bibliographic Details
Published in:Gynecologic oncology 2003-12, Vol.91 (3), p.616-618
Main Authors: Pomel, C, Rouzier, R, Pocard, M, Thoury, A, Sideris, L, Morice, P, Duvillard, P, Bourgain, J.L, Castaigne, D
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Carcinoma, Squamous Cell - surgery
Cervical cancer
Exenteration
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Laparoscopy
Medical sciences
Neoplasm Recurrence, Local - surgery
Pelvic Exenteration
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Tumors
Uterine Cervical Neoplasms - surgery
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Summary: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. 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. With laparoscopic surgical knowledge and new endoscopic staplers, laparoscopic pelvic exenteration procedure is feasible.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2003.08.032