Laparoscopic Pelvic Evisceration in Male and Female Patients

Abstract

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.

Accelerated Recovery Protocol in Extended Combined and Single-Stage Surgery for Pelvic Cancer

“…Протокол разработан после детального изучения стандартных протоколов «Fast track» для пациентов колопроктологического, гинекологического и урологического профилей и содержит в себе их комбинацию (табл. 1) [4,[13][14][15][16][17]. Следует отметить, что выполнимость компонентов вышеуказанного протокола определялась на основе анализа индивидуальных показателей пациента и особенностей течения операции.…”