Abstract
Study Objective The video article describes a laparoscopic anterior pelvic exenteration with radical vaginectomy using the 3-dimensional (3D) vision and multifunction instruments. Methods This is a step-by-step video presentation of the laparoscopic anterior pelvic exenteration (Canadian Task Force classification III). Although the therapeutic benefit of the PE remains controversial, it is often performed in women with centrally recurrent pelvic tumors that previously received radiation therapy or in the locally advanced cases (ie, stage IIb-IVa) resistant to radiochemotherapy. The patient was a 61-year-old woman (body mass index 31.8 kg/m2) with locally advanced squamous cervical cancer involving the bladder (International Federation of Gynecology and Obstetrics stage IVa) submitted to chemoradiotherapy with no response and was admitted for surgery. The preoperative positron emission tomography/computed tomography scan was negative for metastatic localizations. The surgery was performed including radical hysterectomy, cystectomy, and colpectomy with macroscopic resection margins larger than 2 cm; a subsequent Bricker's ileal conduit was completed. An Endoeye Flex 3D Videoscope (Olympsus System) and Thunderbeat device were used to perform it. Results The operation was performed successfully with no intraoperative or postoperative complications. Total duration of surgery was 330 minutes. The estimated blood loss was 100 mL. The patient was discharged on day 8. The pathology report was positive for relapse of cervical cancer (tumor diameter = 4 cm) with infiltration of the vagina and the posterior bladder's muscle. Conclusions Laparoscopic anterior pelvic exenteration with radical colpectomy using 3D vision and multifunction instrument is a fast and safe procedure. However, we notice that further prospective trials are needed to compare this technique with other open surgery and minimally invasive approach (ie, robotically).
| Original language | English |
|---|---|
| Pages (from-to) | 1805-1806 |
| Number of pages | 2 |
| Journal | International Journal of Gynecological Cancer |
| Volume | 28 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - Nov 1 2018 |
Fingerprint
Keywords
- Advanced energy device
- Laparoscopic exenteration
- Three-dimensional vision
ASJC Scopus subject areas
- Oncology
- Obstetrics and Gynaecology
Cite this
Laparoscopic Pelvic Exenteration with Radical Vaginectomy Using 3-Dimensional Vision and Multifunction Instrument. / Vizzielli, Giuseppe; Perrone, Emanuele; Pizzacalla, Sara; Scambia, Giovanni; Ercoli, Alfredo.
In: International Journal of Gynecological Cancer, Vol. 28, No. 9, 01.11.2018, p. 1805-1806.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic Pelvic Exenteration with Radical Vaginectomy Using 3-Dimensional Vision and Multifunction Instrument
AU - Vizzielli, Giuseppe
AU - Perrone, Emanuele
AU - Pizzacalla, Sara
AU - Scambia, Giovanni
AU - Ercoli, Alfredo
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Study Objective The video article describes a laparoscopic anterior pelvic exenteration with radical vaginectomy using the 3-dimensional (3D) vision and multifunction instruments. Methods This is a step-by-step video presentation of the laparoscopic anterior pelvic exenteration (Canadian Task Force classification III). Although the therapeutic benefit of the PE remains controversial, it is often performed in women with centrally recurrent pelvic tumors that previously received radiation therapy or in the locally advanced cases (ie, stage IIb-IVa) resistant to radiochemotherapy. The patient was a 61-year-old woman (body mass index 31.8 kg/m2) with locally advanced squamous cervical cancer involving the bladder (International Federation of Gynecology and Obstetrics stage IVa) submitted to chemoradiotherapy with no response and was admitted for surgery. The preoperative positron emission tomography/computed tomography scan was negative for metastatic localizations. The surgery was performed including radical hysterectomy, cystectomy, and colpectomy with macroscopic resection margins larger than 2 cm; a subsequent Bricker's ileal conduit was completed. An Endoeye Flex 3D Videoscope (Olympsus System) and Thunderbeat device were used to perform it. Results The operation was performed successfully with no intraoperative or postoperative complications. Total duration of surgery was 330 minutes. The estimated blood loss was 100 mL. The patient was discharged on day 8. The pathology report was positive for relapse of cervical cancer (tumor diameter = 4 cm) with infiltration of the vagina and the posterior bladder's muscle. Conclusions Laparoscopic anterior pelvic exenteration with radical colpectomy using 3D vision and multifunction instrument is a fast and safe procedure. However, we notice that further prospective trials are needed to compare this technique with other open surgery and minimally invasive approach (ie, robotically).
AB - Study Objective The video article describes a laparoscopic anterior pelvic exenteration with radical vaginectomy using the 3-dimensional (3D) vision and multifunction instruments. Methods This is a step-by-step video presentation of the laparoscopic anterior pelvic exenteration (Canadian Task Force classification III). Although the therapeutic benefit of the PE remains controversial, it is often performed in women with centrally recurrent pelvic tumors that previously received radiation therapy or in the locally advanced cases (ie, stage IIb-IVa) resistant to radiochemotherapy. The patient was a 61-year-old woman (body mass index 31.8 kg/m2) with locally advanced squamous cervical cancer involving the bladder (International Federation of Gynecology and Obstetrics stage IVa) submitted to chemoradiotherapy with no response and was admitted for surgery. The preoperative positron emission tomography/computed tomography scan was negative for metastatic localizations. The surgery was performed including radical hysterectomy, cystectomy, and colpectomy with macroscopic resection margins larger than 2 cm; a subsequent Bricker's ileal conduit was completed. An Endoeye Flex 3D Videoscope (Olympsus System) and Thunderbeat device were used to perform it. Results The operation was performed successfully with no intraoperative or postoperative complications. Total duration of surgery was 330 minutes. The estimated blood loss was 100 mL. The patient was discharged on day 8. The pathology report was positive for relapse of cervical cancer (tumor diameter = 4 cm) with infiltration of the vagina and the posterior bladder's muscle. Conclusions Laparoscopic anterior pelvic exenteration with radical colpectomy using 3D vision and multifunction instrument is a fast and safe procedure. However, we notice that further prospective trials are needed to compare this technique with other open surgery and minimally invasive approach (ie, robotically).
KW - Advanced energy device
KW - Laparoscopic exenteration
KW - Three-dimensional vision
UR - http://www.scopus.com/inward/record.url?scp=85055654269&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85055654269&partnerID=8YFLogxK
U2 - 10.1097/IGC.0000000000001370
DO - 10.1097/IGC.0000000000001370
M3 - Article
C2 - 30358707
AN - SCOPUS:85055654269
VL - 28
SP - 1805
EP - 1806
JO - International Journal of Gynecological Cancer
JF - International Journal of Gynecological Cancer
SN - 1048-891X
IS - 9
ER -