Pomel C, Rouzier R, Pocard M, Thoury A, Sideris L, Morice P, Duvillard P, Bourgain J L, Castaigne D
Department of Surgical Oncology, Gustave Roussy Institute Comprehensive Cancer Centre, 39, Rue Camille Desmoulins, 94805, Villejuif, France.
Gynecol Oncol. 2003 Dec;91(3):616-8. doi: 10.1016/j.ygyno.2003.08.032.
Laparoscopy classically reduces morbidity and invasiveness. To decrease the operative morbidity associated with exenteration, we considered the possibility of performing a total pelvic exenteration by the laparoscopic approach.
A 34-year-old woman presented with a cervical cancer relapse. The bladder, uterus, vagina, ovaries, and rectum were mobilized en bloc from the pelvic sidewall. We used vascular endoscopic staplers for the control of sigmoid vessels and anterior branches of internal iliac vessels. The specimen was removed through the vulva. A colo-anal anastomosis and an ileal-loop conduit for urinary tract diversion were made. The operative time was 9 h. The postoperative course was uneventful. Specimen margins were free of disease.
With laparoscopic surgical knowledge and new endoscopic staplers, laparoscopic pelvic exenteration procedure is feasible.
传统上，腹腔镜手术可降低发病率并减少侵袭性。为降低与盆腔脏器清除术相关的手术发病率，我们考虑了通过腹腔镜手术进行全盆腔脏器清除术的可能性。
一名34岁女性出现宫颈癌复发。将膀胱、子宫、阴道、卵巢和直肠从盆腔侧壁整块游离。我们使用血管内镜吻合器控制乙状结肠血管和髂内动脉前支。标本经外阴取出。进行了结肠肛管吻合术和回肠袢代膀胱术。手术时间为9小时。术后过程顺利。标本切缘无肿瘤。
凭借腹腔镜手术知识和新型内镜吻合器，腹腔镜盆腔脏器清除术是可行的。
