First Case of ROLL Technique for Mesorectal Recurrence Excision

Garcia, Lina; Tresierra, Luis; Garcerant, Marjorie; Durán, Hipólito; Ielpo, Benedetto; Dı́az, Eduardo; Fabra, Isabel; Caruso, Riccardo; Malavé, L.; Bello, Ana Plata; Prados, Susana; Tabernero, Susana; Quijano, Yolanda; Vicente, Emilio

doi:10.1016/j.jmig.2016.09.012

Cited by 1 publication

(1 citation statement)

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“…There are 3 previous articles reporting cases of patients with gynecological disease operated by using ROLL technique. In 2016, Garcia et al 13 reported the use of ROLL technique for the excision of an 11-mm mesorectal recurrence in a patient with ovarian cancer by means of a trans-sacral (Kraske) approach. Farinazzo et al reported in 2018 the case of a 43-year-old patient with abdominal wall endometriosis, very symptomatic but not palpable.…”

Section: Discussionmentioning

confidence: 99%

Radioguided Occult Lesion Localization for Gynecologic Tumor Relapses

Bebia

Mast²,

Villasboas-Rosciolesi

et al. 2023

Clin Nucl Med

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Purpose of the Report: Excision of peritoneal or nodal isolated recurrences frequently involves performing a surgery on a previously operated area, which is more difficult to achieve with minimally invasive approaches. Our aim was to describe the technical aspects, feasibility, and complications derived from the application of the radioguided occult lesions localization (ROLL) in gynecologic oncology recurrence excision. Patients and Methods: All consecutive patients bearing localized relapses of a gynecologic tumor that were considered candidates for surgical excision were assessed to undergo a ROLL procedure. Radiotracer ( 99m Tc-albumin macroaggregate) injection of the lesions was performed by ultrasonography or CT guidance. Relapses were localized using a gamma probe by minimally invasive surgery when located in the abdomen, or percutaneously when located in the groin. Intraoperative and early (up to postoperative day 30) complications were prospectively recorded. Results: A total of 8 patients underwent the procedure. The median age was 59 years (range, 35-87 years). Four patients had abdominal relapses, whereas 4 patients presented groin relapses. The mean operative time was 120 minutes (range, 30-190 minutes), whereas the median estimated blood loss was 5 mL (range, 0-150 mL). All the targeted lesions were successfully removed. No intraoperative complications were reported. One postoperative complication (inguinal lymphocele) was recorded. Conclusions: ROLL surgery constitutes a new approach for isolated recurrences in gynecological tumors.

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Section: Discussionmentioning

confidence: 99%