Laparoscopic Resection of the Diaphragmatic Tumor Nodule for Management of Recurrent Endometrial Cancer

Journal of Minimally Invasive Gynecology
Gulden MenderesDan-Arin Silasi

Abstract

To show a surgical video in which an isolated hemidiaphragmatic tumor nodule was resected laparoscopically in a patient with isolated recurrence of endometrial cancer. Case report (Canadian Task Force Classification study design III). Tertiary referral center in New Haven, CT. This is a step-by-step illustration of tumor nodule resection from the right hemidiaphragm. The patient was a 55-year-old white woman who was diagnosed with stage IIIA endometrioid endometrial adenocarcinoma in June 2011 after surgical debulking. She received adjuvant carboplatin and paclitaxel and vaginal brachytherapy. She was disease free until March 2015 when she presented with right upper abdominal pain. A computed tomographic scan showed a 1-cm implant on the right hepatic dome. The implant was noted to be enlarged to 1.8 cm on a subsequent computed tomographic scan in August 2015. The patient was taken to the operating room for exploratory laparoscopy and resection of the hepatic dome/hemidiaphragmatic tumor nodule. The tumor nodule was noted to involve the full thickness of the right hemidiaphragm. The resection of the entire nodule required perforation of the diaphragm, which was reapproximated after the excision. The procedure was performed with...Continue Reading

References

Jul 18, 2014·Journal of Surgical Case Reports·Mathew BaldwinBruno Sgromo
Jun 24, 2015·Journal of Minimally Invasive Gynecology·Marc PossoverVito Chiantera

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Citations

Oct 13, 2020·The Journal of International Medical Research·Tianyu ZhangYanguo Liu

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