Initial experience of laparoscopic pelvic exenteration and comparison with conventional open surgery

Surgical Endoscopy
Keisuke UeharaMasato Nagino

Abstract

Generalization of laparoscopic pelvic surgery has brought about profound knowledge of the pelvic anatomy and has encouraged expansion of indications for laparoscopic surgery to extended pelvic surgery. Pelvic exenteration (PE) is still a demanding surgical procedure and remains an essential technique for pelvic surgery although minimally invasive and function-preserving surgery is in the mainstream of surgical treatment. However, the techniques of laparoscopic PE (LPE) have been rarely explained nor has its feasibility been fully evaluated. The aim of this study was to describe important technical points and to assess the feasibility of LPE for pelvic malignancies. Data on 67 patients with pelvic malignancies, who underwent PE between June 2006 and August 2014, were analyzed retrospectively. LPE has been indicated since 2013. Patients were divided into the LPE group (n = 9) and the conventional open PE (OPE) group (n = 58). Operative time in the LPE and OPE groups was similar (935 vs. 883 min, p = 0.398). Intraoperative blood loss in the LPE group was significantly less than that in the OPE group (830 vs. 2769 ml, p = 0.003). Pathological R0 resection rate was similar in both groups (77.8 vs. 75.9%). Overall incidence of any co...Continue Reading

References

Jul 5, 2005·The Lancet Oncology·Ruben VeldkampUNKNOWN COlon cancer Laparoscopic or Open Resection Study Group (COLOR)
Oct 27, 2005·Gynecologic Oncology·Gwénaël FerronMichel Soulié
Oct 31, 2006·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M VermaasJ H W de Wilt
Apr 21, 2007·Journal of Endourology·Francesco PorpigliaRoberto Mario Scarpa
Jan 5, 2011·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·E VizzaG Corrado
Feb 12, 2013·The Lancet Oncology·Martijn Hgm van der PasUNKNOWN COlorectal cancer Laparoscopic or Open Resection II (COLOR II) Study Group
Nov 1, 2013·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Marta Del PinoAureli Torné
Nov 10, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Paul J SpeicherJohn Migaly
Dec 24, 2013·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Vito ChianteraGiuseppe Filiberto Vercellino
May 8, 2014·BJU International·Antonina Di BenedettoChristopher G Eden
Aug 12, 2014·International Journal of Surgery Case Reports·Daniel Fernández-MartínezHerminio Sánchez-Farpón
Dec 6, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·K UeharaM Nagino

❮ Previous
Next ❯

Citations

Dec 9, 2015·World Journal of Surgery·Atsushi OguraMasashi Ueno
Oct 24, 2015·Surgery Today·Hayato NakamuraMasato Nagino
Jun 2, 2017·World Journal of Gastrointestinal Oncology·Min Hoe ChewChoong Leong Tang
Oct 26, 2018·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Giuseppe VizzielliAlfredo Ercoli
Jun 4, 2020·Surgery Today·Masanori SandoMasato Nagino
Nov 6, 2020·Diseases of the Colon and Rectum·Kei KimuraNaohiro Tomita
Jul 25, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Momoko IchiharaMitsugu Sekimoto
Jul 1, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Alfonso Pontes-GarcíaFrancisco Javier Briceño-Delgado
Aug 12, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Sajith SasiAvanish Saklani
Oct 8, 2021·Asian Journal of Endoscopic Surgery·Tetsuro TominagaTakeshi Nagayasu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.