Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer.

Radiation Oncology
Gary D McKayDaniel R Kozman

Abstract

Radiation enteritis is a significant complication of external beam radiotherapy (EBRT) to the pelvis, particularly in patients having high dose radiotherapy (> 80 Gy) and in those with a low pelvic peritoneal reflection allowing loops of small bowel to enter the radiation field. Laparoscopic insertion and subsequent removal of a pelvic tissue expander before and after external beam radiotherapy is a relatively convenient, safe and effective method for displacing loops of bowel out of the pelvis. We report on a patient with prostate cancer who ordinarily would not have been a candidate for EBRT due to loops of bowel low in the pelvis. With laparoscopic insertion and subsequent removal of a tissue expander, he was able to have radiotherapy to the prostate without developing radiation enteritis.

References

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Citations

Dec 23, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sabine IrtanSabine Sarnacki
Apr 27, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M F KhanR A Cahill
Oct 20, 2015·Journal of Pediatric Hematology/oncology·Shuichiro UeharaHiroomi Okuyama

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