Abstract
ABSTRACTBackground and Purpose:Recent advances in cancer treatment have resulted in bet- ter prognosis with impact on patient's survival, allowing an increase in incidence of a second primary neoplasm. The development of minimally invasive surgery has provided similar outcomes in comparison to open surgery with potentially less mor- bidity. Consequently, this technique has been used as a safe option to simultaneously treat synchronous abdominal malignancies during a single operating room visit. The objective of this study is to describe the experience of two tertiary cancer hospitals in Brazil, in the minimally invasive treatment of synchronous abdominal neoplasms and to evaluate its feasibility and peri-operative results.Materials and Methods:We retrospectively reviewed the data from patients who were submitted to combined laparoscopic procedures performed in two tertiary hospitals in Brazil from May 2009 to February 2015.Results:A total of 12 patients (9 males and 3 females) with a mean age of 58.83 years (range: 33 to 76 years) underwent combined laparoscopic surgeries for the treatment of at least one urological disease. The total average duration of surgery was 339.8 minutes (range: 210 to 480 min). The average amount of intraoperative bleeding was 276.6mL (range: 70 to 550mL) and length of hospitalization was 5.08 days (range: 3 to 10 days). Two patients suffered minor complications regarding Clavien system during the immediate postoperative period.Conclusions:Combined laparoscopic surgery for the treatment of synchronous tumors is feasible, viable and safe. In our study, there was a low risk of postoperative morbidity.
Highlights
Recent advances in cancer treatment have resulted in an improvement of prognosis with a profound impact in patient’s survival [1]
The objective of this study is to describe the experience of two tertiary cancer hospitals in Brazil, in the minimally invasive treatment of synchronous abdominal neoplasms and to evaluate its feasibility and peri-operative results
We retrospectively reviewed the data from patients who underwent combined laparoscopic procedures performed in two tertiary hospitals in Brazil from May 2009 to February 2015
Summary
Recent advances in cancer treatment have resulted in an improvement of prognosis with a profound impact in patient’s survival [1] This fact, associated with the advances in technology and diagnostic methods, have led to an increase in the incidence of a second primary neoplasm. A systematic review published in 2009 showed that, in selected cases, patients with a colon primary tumor and synchronous liver metastasis could be treated by open surgery in a single procedure, instead of two surgeries as a sequential treatment, with the same feasibility and complication rates [4]. The development of minimally invasive surgery has provided similar outcomes in comparison to open surgery with potentially less morbidity This technique has been used as a safe option to simultaneously treat synchronous abdominal malignancies during a single operating room visit. There was a low risk of postoperative morbidity
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International braz j urol : official journal of the Brazilian Society of Urology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
