Isla-Ortiz D, Montalvo-Esquivel G, Herrera-Goepfert RE, Herrera-Gómez Á, Salcedo-Hernández RA. [Laparoscopic anterior pelvic exenteration in a patient with locally advanced melanoma].
CIR CIR 2016;
85 Suppl 1:93-98. [PMID:
28027809 DOI:
10.1016/j.circir.2016.10.012]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2015] [Accepted: 10/17/2016] [Indexed: 10/20/2022]
Abstract
BACKGROUND
Pelvic exenteration is one of the most mutilating surgical procedures with high post-operative morbidity. The laparoscopic technique aims to reduce perioperative complications and reduce post-surgical recovery.
OBJECTIVE
We present the first case of laparoscopic anterior exenteration for locally advanced melanoma, held at the National Cancer Institute and published in Mexico.
CASE REPORT
Patient 60 years of age diagnosed with invasive vulvar melanoma with bladder extension upon whom laparoscopic anterior pelvic exenteration with external urinary reconstruction was performed. Time in surgery was 505minutes and estimated blood loss was 400ml. No complications occurred during or immediately after surgery. The final histopathological study reported: nodular lesion that completely replaces the clitoris and spreads to the left labia majora, measures 3×2.5×2cm and is located relative to the free margins with perineural invasion intraepithelial spread in space and urethra and bladder trigone.
CONCLUSIONS
The laparoscopic anterior pelvic exenteration is a safe alternative in well-selected patients, with acceptable time in surgery, surgical complications and recovery time.
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