Abstract
Recently, there has been an increasing use of laparoscopy in the surgical treatment of gynecologic cancer. We aimed to analyze the feasibility of performing laparoscopic pelvic extentaration for stage IVa cervical cancer. Case report. We present the case of a 61-year-old patient diagnosed with stage IVa (T4N0M0) cervical cancer. The examination revealed cervical cancer invading the bladder wall and extending to the mouth of uretersю The patient underwent laparoscopy and bilateral uretherocutaneostomy as the first line treatment. When creatinine and urea blood levels were in the normal range, the patient underwent laparoscopic anterior pelvic exentaration as the second line treatment. After surgery the patient received pelvic external beam radiation therapy. The follow-up period was 6 months. Conclusion. We have shown the feasibility of performing laparoscopic anterior pelvic exenteration for stage IVa cervical cancer complicated by complete obstruction of one kidney and partial obstruction of another kidney
Highlights
We aimed to analyze the feasibility of performing laparoscopic pelvic extentaration for stage IVa cervical cancer
We present the case of a 61-year-old patient diagnosed with stage IVa (T4N0M0) cervical cancer
When creatinine and urea blood levels were in the normal range, the patient underwent laparoscopic anterior pelvic exentaration as the second line treatment
Summary
Лапароскопическая передняя эвисцерация малого таза у больной раком шейки матки IVа стадии (клинический случай). ЛАПАРОСКОПИЧЕСКАЯ ПЕРЕДНЯЯ ЭВИСЦЕРАЦИЯ МАЛОГО ТАЗА У БОЛЬНОЙ РАКОМ ШЕЙКИ МАТКИ IVa. Основным возможным методом лечения больных раком шейки IVa стадии является хирургическое вмешательство. Приведен клинический случай лечения 61-летней пациентки с диагнозом: Рак шейки матки IVa (T4N0M0) стадии с прорастанием стенки мочевого пузыря и блоком обоих мочеточников. Показана возможность использования лапароскопического доступа при хирургическом лечении рака шейки матки IVa стадии, осложненного блоком почек. Ключевые слова: рак шейки матки, передняя эвисцерация органов малого таза, лапароскопия, уретерокутанеостомия. В исследовании H.J. Yoo et al проанализированы данные о лечении 61 пациентки с рецидивом рака шейки матки, из них у 42 выполнена тотальная эвисцерация малого таза, у 17 – передняя, у 2 – задняя ЭМТ [2]. Широкое применение лапароскопических технологий в хирургии органов малого таза спо-
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