Laparoscopic Hysterectomy in Patients with Prior Renal Transplantation

Raff, G.J.; Kasper, Kelly; Hollinger, Edward F.; Goggins, William C.

doi:10.1016/j.jmig.2007.10.003

Cited by 9 publications

(4 citation statements)

References 7 publications

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“…To date, there is only one report of a radical hysterectomy performed in recipients of kidney transplantation as treatment for early stage cervical cancer [5]. Although surgical difficulties, we could attest the feasibility and oncologic safety of the procedure, and we believe that this therapy option should ever be considered.…”

Section: Resultsmentioning

confidence: 87%

Laparoscopic-assisted vaginal radical hysterectomy (LAVRH) in recipients of kidney transplant with cervical cancer stage Ib1

et al. 2009

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The incidence of cancer among patients submitted to kidney transplantation is increasing, since the graft survival rates have improved. Cervical cancer is approximately fivefold more common among these patients, correlated to immunosuppression exposure and antibody response to HPV infection. Treatment is challenging, regarding the graft in the pelvic field and standard options for stage Ib include radical hysterectomy or chemoradiation. We report two patients submitted to kidney transplantation with cervical cancer that were successfully treated by means of surgery. In conclusion, we intended to enlarge the current experience with radical hysterectomy in transplanted kidney patients with early stage cervical cancer. Although surgical difficulties existed, we could attest the feasibility and oncologic safety of the method.

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Section: Resultsmentioning

confidence: 87%

Laparoscopic-assisted vaginal radical hysterectomy (LAVRH) in recipients of kidney transplant with cervical cancer stage Ib1

et al. 2009

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“…We searched the PubMed database for English language articles published prior to May 2016 using the search terms: renal, transplantation, laparoscopic and hysterectomy. We identified two relevant articles (Table ) . Both previous reports only presented cases of hysterectomy for benign gynecologic diseases.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopy has successfully been used for many procedures following renal transplantation, including native kidney nephrectomy, revision of transplant ureters and cholecystectomy, removal of endometriotic cyst, castration in a patient with a sexual differentiation disorder and laparoscopically assisted vaginal hysterectomy. Because renal transplantation is a retroperitoneal operative procedure, it was as expected that no prior severe intra‐abdominal adhesions or perioperative complications were identified during the hysterectomy procedure …”

Section: Discussionmentioning

confidence: 99%

Total laparoscopic hysterectomy for endometrial cancer in a renal transplantation patient receiving peritoneal dialysis: Case report and literature review

Kakuda

Kobayashi

Tanaka

et al. 2017

J of Obstet and Gynaecol

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Improved surgical techniques and immunosuppressant medications for organ transplantation have resulted in a significant increase in the number of women undergoing renal transplantation. Peritoneal dialysis (PD), a common supportive therapy for chronic renal failure, is also used in cases of renal transplantation failure. Herein, we report the first case of a rare total conventional laparoscopic gynecologic hysterectomy performed for endometrial cancer in a patient undergoing life-supportive PD as a result of renal transplantation failure. No unusual intraoperative complications were experienced, but post-surgical peritoneal leakage was observed. We reviewed the literature of alternative surgical methods of hysterectomy for endometrial cancer in patients who had undergone renal transplantation and were undergoing PD at the time of the hysterectomy. Laparoscopic hysterectomy could be safe in a renal transplantation patient receiving PD if injury to the transplanted ureter and renal artery is avoided by recognizing the patient's anatomy and PD leakage is averted by careful peritoneum suture and avoiding contact with the PD catheter.

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“…Numerous studies have shown that patient survival is significantly higher with kidney transplantation than with dialysis. Moreover, with the use of better immunosuppression and improved surgical techniques, graft and patient survival after kidney transplantation have improved over the years [2,3] . However, it is known that incidence of cancer is higher in transplant recipients than in patients undergoing dialysis for ESRD.…”

Section: Introductionmentioning

confidence: 99%

Laparo-endoscopic single site hysterectomy in renal transplant women using conventional laparoscopic instruments

Goh¹,

Tan²,

Nadarajah³

2021

MIS

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Kidney transplant recipients are at a higher risk of developing cancers as compared to the general population. This is of concern when it comes to gynaecological pathologies because the transplanted kidney lies in the pelvic region, in close proximity to the diseased organ. The successful use of laparo-endoscopic single site surgery with conventional laparoscopic instruments for total hysterectomy and bilateral salpingo-oophorectomy in three patients with prior renal transplantation is reported.

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Laparoscopic Hysterectomy in Patients with Prior Renal Transplantation

Cited by 9 publications

References 7 publications

Laparoscopic-assisted vaginal radical hysterectomy (LAVRH) in recipients of kidney transplant with cervical cancer stage Ib1

Laparoscopic-assisted vaginal radical hysterectomy (LAVRH) in recipients of kidney transplant with cervical cancer stage Ib1

Total laparoscopic hysterectomy for endometrial cancer in a renal transplantation patient receiving peritoneal dialysis: Case report and literature review

Laparo-endoscopic single site hysterectomy in renal transplant women using conventional laparoscopic instruments

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