Open AccessLAPAROSCOPIC PELVIC EVISCERATION IN MALE AND FEMALE PATIENTS
Author(s) -
Э. А. Галлямов,
М. А. Агапов,
R.G. Biktimirov Biktimirov,
В. П. Сергеев,
А. Е. Санжаров,
А Д Кочкин,
Д. И. Володин,
П. С. Малахов,
Г. Ю. Гололобов,
В. В. Какоткин
Publication year - 2020
Publication title -
hirurgičeskaâ praktika
Language(s) - English
Resource type - Journals
ISSN - 2223-2427
DOI - 10.38181/2223-2427-2020-1-15-23
Subject(s) - medicine , pelvic exenteration , perioperative , evisceration (ophthalmology) , surgery , blood loss , cervical cancer , pelvic pain , hysterectomy , cancer , alternative medicine , pathology
: 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.