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2015 ; 13
(ä): 301
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Laparoscopic total pelvic exenteration for pelvic malignancies: the technique and
short-time outcome of 11 cases
#MMPMID26472147
Yang K
; Cai L
; Yao L
; Zhang Z
; Zhang C
; Wang X
; Tang J
; Li X
; He Z
; Zhou L
World J Surg Oncol
2015[Oct]; 13
(ä): 301
PMID26472147
show ga
BACKGROUND: Previous reports about laparoscopic total pelvic exenteration (LTPE)
are still limited. In the present study, we described our single-center
experience of the initial 11 cases. METHODS: Between April 2011 and September
2015, eight males and three females diagnosed as pelvic malignancies underwent
LTPE by the same operation team. We retrospectively collected all cases'
parameters about surgical technique. Thirty-seven patients who received open
surgery were also retrospectively collected. A comparison between LTPE and open
surgery was performed to evaluate the feasibility and safety of LTPE. RESULTS:
Eleven cases successfully underwent the LTPE without any intraoperative
complication. No open conversion was required. Eight patients underwent Bricker's
procedure. Three patients were performed with the cutaneous ureterostomy. Anus
preservation operation was performed in three patients. Compared with open
surgery, LTPE had longer mean operative time (565.2 vs 468.2 min, p?=?0.004) but
less mean blood loss (547.3 vs 1033.0 ml, p?0.001) and shorter postoperative
hospitalization time (15.3 vs 22.4 days, p?=?0.004). One patient died of
pulmonary embolism in the 7th month of follow-up time. One patient died of
recurrence in the 12th month of follow-up time. Nine patients are still alive
without recurrence and metastasis. The mean follow-up time was 11.1 months.
CONCLUSIONS: The technique of LTPE seems to be feasible and safe in the treatment
of carefully selected patients of pelvic malignancies. LTPE can also decrease the
blood loss, the recovery time, and the hospital stay. But the oncological safety
and long-term outcome of LTPE still need to be explored.