scholarly journals Robotic Total Pelvic Exenteration with Laparoscopic Rectus Flap: Initial Experience

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Brian R. Winters ◽  
Gary N. Mann ◽  
Otway Louie ◽  
Jonathan L. Wright
Keyword(s):  
Blood Loss ◽  
Open Surgery ◽  
Pelvic Exenteration ◽  
Locally Advanced ◽  
Descriptive Statistics ◽  
Initial Experience ◽  
Total Pelvic Exenteration ◽  
Surgical Morbidity ◽  
Pelvic Malignancies ◽  
Estimated Blood Loss

Total pelvic exenteration is a highly morbid procedure performed for locally advanced pelvic malignancies. We describe our experience with three patients who underwent robotic total pelvic exenteration with laparoscopic rectus flap and compare perioperative characteristics to our open experience. Demographic, tumor, operative, and perioperative factors were examined with descriptive statistics reported. Mean operative times were similar between the two groups. When compared to open total pelvic exenteration cases(n=9), median estimated blood loss, ICU stay, and hospital stay were all decreased. These data show robotic pelvic exenteration with laparoscopic rectus flap is technically feasible. The surgery was well tolerated with low blood loss and comparable operative times to the open surgery. Further study is needed to confirm the oncologic efficacy and the suggested improvement in surgical morbidity.

scholarly journals Laparoscopic Total Pelvic Exenteration After Neoadjuvant Imatinib Therapy for Gastrointestinal Stromal Tumor of the Rectum: A Case Report

2017 ◽  
Vol 102 (5-6) ◽  
pp. 205-209
Author(s):  
Toshiya Nagasaki ◽  
Yosuke Fukunaga ◽  
Takashi Akiyoshi ◽  
Tsuyoshi Konishi ◽  
Yoshiya Fujimoto ◽  
...  
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Pelvic Exenteration ◽  
Intraoperative Complications ◽  
Locally Advanced ◽  
Stromal Tumor ◽  
Resected Specimen ◽  
Total Pelvic Exenteration ◽  
Conversion To Open Surgery ◽  
Rectal Gist ◽  
Estimated Blood Loss

Total pelvic exenteration (TPE) may be the only curative procedure for locally advanced rectal gastrointestinal stromal tumor (GIST) that is contiguous with the adjacent organs and pelvic wall. There is no previous report of laparoscopic TPE for advanced rectal GIST. Here, we describe our experience of performing laparoscopic TPE on a locally advanced rectal GIST after neoadjuvant imatinib chemotherapy. A 62-year-old Japanese man was diagnosed with locally advanced rectal GIST that was contiguous with the seminal vesicles, prostate, and left pelvic sidewall. He received imatinib mesylate for 5 months, after which the mass had shrunk but was still contiguous with adjacent organs. We therefore needed to perform TPE, and we accomplished the operation laparoscopically. The total operative time was 540 minutes and estimated blood loss was 280 mL. There were no intraoperative complications and not required conversion to open surgery. The patient had his first stool on the first postoperative day and discharged on the 21st postoperative day with no major complication. Pathologic examination of the resected specimen revealed negative margins. The patient had further adjuvant imatinib chemotherapy and had no recurrence for 20 months postoperatively. Laparoscopic TPE appears to be minimally invasive surgery and safe in the present case of rectal GIST. This is the first report of a case in the world that underwent laparoscopic TPE for advanced rectal GIST.

scholarly journals Laparoscopic Total Pelvic Exenteration for Locally Advanced or Recurrent Rectal Cancer

2019 ◽  
Vol 72 (10) ◽  
pp. 559-566
Author(s):  
Kei Kimura ◽  
Masataka Ikeda ◽  
Jihyung Song ◽  
Michiko Hamanaka ◽  
Akihito Babaya ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Pelvic Exenteration ◽  
Locally Advanced ◽  
Recurrent Rectal Cancer ◽  
Total Pelvic Exenteration

scholarly journals Total Pelvic Exenteration with Genitalia Resection for Locally Advanced Carcinoma Associated with Anal Fistula

2013 ◽  
Vol 74 (6) ◽  
pp. 1643-1649
Author(s):  
Satoshi NISHIWADA ◽  
Tomohide MUKOGAWA ◽  
Saiho KO ◽  
Hirofumi ISHIKAWA ◽  
Naoki INATSUGI ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Pelvic Exenteration ◽  
Locally Advanced ◽  
Total Pelvic Exenteration ◽  
Advanced Carcinoma

scholarly journals Open versus arthroscopic ankle arthrodesis: A systemic review and meta-analysis

2020 ◽  
Author(s):  
Tsz Ngai Mok ◽  
Qiyu He ◽  
SOUNDARYA PANNEERSELVAM ◽  
Huajun Wang ◽  
Huige Hou ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Loss ◽  
Cohort Studies ◽  
Open Surgery ◽  
Meta Analysis ◽  
Fusion Rate ◽  
Ankle Arthritis ◽  
Tourniquet Time ◽  
Pooled Data ◽  
Estimated Blood Loss

Abstract Background: Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden. Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis. Methods: For the systematic review, a literature search was conducted in four English databases (PubMed, Embase, Medline and the Cochrane Library) from inception to February 2020. Two prospective cohort studies and 8 retrospective cohort studies, enrolling a total of 548 patients with ankle arthritis, were included. Result: For fusion rate, the pooled data showed a significantly higher rate of fusion during arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding estimated blood loss, the pooled data showed significantly less blood loss during arthroscopic arthrodesis compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed a shorter tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). For length of hospital stay, the pooled data showed less hospitalisation time for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who underwent arthroscopic arthrodesis compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003). Conclusion: In conclusion, arthroscopic arthrodesis was associated with a higher fusion rate, smaller estimated blood loss, shorter tourniquet time, shorter length of hospitalisation and better functional improvement at 1 year than open surgery.

Sign in / Sign up

Export Citation Format

Share Document