The small bowel in its hammock: how to avoid irradiation thanks to the sigmoid

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Sabine IrtanSabine Sarnacki

Abstract

High-dose irradiation is the cornerstone treatment of bone cancers of the pelvic rim. To protect the small bowel from irradiation and following consequences, we described the laparoscopic use of the sigmoid to perform a hammock. Three patients were diagnosed with metastatic Ewing's sarcoma, localized malignant peripheral nerve sheath tumor, and localized BCOR-CCNB3 (Ewing-like) sarcoma of the pelvic rim at 13.1, 5.7, and 12.9 years, respectively. After neoadjuvant chemotherapy, the 2 female patients underwent a hemisacrectomy under S2 only by the posterior approach, whereas no orthopedic surgery was required for the male patient because of excellent local response to chemotherapy. A 54-Gy intensity-modulated radiotherapy of the posterior part of the pelvis was intended for all patients. The laparoscopic procedure consisted in the fixation of the sigmoid loop to the anterior parietal wall on a transverse line just below the umbilicus, associated with a colostomy in the right iliac fossa. The anterior transposition of the two ovaries, uterus, and rectum and the dissection of left iliac vessels to move them anteriorly were added in female patients. Stomas were closed around 6 months after completion of the radiotherapy course, ass...Continue Reading

References

Aug 1, 1979·International Journal of Radiation Oncology, Biology, Physics·J L RansomC B Pratt
Sep 1, 1991·Diseases of the Colon and Rectum·D B EvansT A Rich
Aug 1, 1990·International Journal of Radiation Oncology, Biology, Physics·T G ShanahanT J Kinsella
Jul 1, 1994·Journal of Pediatric Surgery·F MericL Schnaufer
Apr 2, 1993·International Journal of Radiation Oncology, Biology, Physics·S H HerbertG E Hanks
Oct 26, 1999·Medical and Pediatric Oncology·C CarrieS Hoffstetter
Mar 24, 2004·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Andrew John BayleyPardraig Warde
Aug 22, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Torunn I YockUNKNOWN Children's Oncology Group
Dec 13, 2006·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·N HaiderR J Fitzgerald
Mar 9, 2007·Journal of Surgical Oncology·Davide DonatiMario Mercuri
Feb 7, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Melissa A GellerMatthew P Boente
Mar 12, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Gaetano BacciMario Mercuri
Aug 22, 2009·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·J LeseurS Supiot
Jun 30, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Dasen LiYidan Zhang
Jan 25, 2013·World Journal of Gastroenterology : WJG·Abobakr K ShadadLaurence J Egan
Oct 3, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·I Pérez-MuñozL Jeys
Jan 2, 2014·Therapeutic Advances in Chronic Disease·Rhodri Stacey, John T Green
Jan 29, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Arnaud DuboryCharles Court

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BETA
dissection
surgical resection

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