Robotic-assisted laparoscopic and thoracoscopic approach: a challenging multidisciplinary minimally invasive surgery of intravascular leiomyomatosis with intracardiac extension.
Fertil Steril 2023;
119:155-157. [PMID:
36400596 DOI:
10.1016/j.fertnstert.2022.09.022]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 09/16/2022] [Accepted: 09/19/2022] [Indexed: 11/18/2022]
Abstract
OBJECTIVE
To show a case of severe intravascular leiomyomatosis with intracardiac extension treated by a multidisciplinary minimally invasive surgery.
DESIGN
Stepwise demonstration of the technique with a video.
SETTING
General Hospital.
PATIENT(S)
A 40-year-old woman with palpitation and dyspnea.
INTERVENTION(S)
The patient was diagnosed with intravascular leiomyomatosis by computed tomography scan. She underwent a successful single-stage minimally invasive surgery with complete excision.
MAIN OUTCOME MEASURE(S)
The feasibility and safety of using this technique for intravascular leiomyomatosis with intracardiac extension.
RESULT(S)
A combined thoracoabdominal surgery was successfully performed. During the procedure, cardiopulmonary bypass was maintained for 72 minutes. The patient soon recovered and was discharged.
CONCLUSION(S)
Minimally invasive surgery is a possible choice for intravascular leiomyomatosis with intracardiac extension.
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