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学科主题临床医学
Laparoscopic total pelvic exenteration for pelvic malignancies: the technique and short-time outcome of 11 cases
Yang, Kunlin1,2,3; Cai, Lin1,2,3; Yao, Lin1,2,3; Zhang, Zheng1,2,3; Zhang, Cuijian1,2,3; Wang, Xin4,5; Tang, Jianqiang4,5; Li, Xuesong1,2,3; He, Zhisong1,2,3; Zhou, Liqun1,2,3
关键词Laparoscopic Total Pelvic Exenteration Pelvic Malignancy Reconstruction
刊名WORLD JOURNAL OF SURGICAL ONCOLOGY
2015-10-15
DOI10.1186/s12957-015-0715-2
13
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Oncology ; Surgery
资助者Natural Science Foundation of China ; Natural Science Foundation of China
研究领域[WOS]Oncology ; Surgery
关键词[WOS]RECURRENT RECTAL-CANCER ; BARRELED WET COLOSTOMY ; ADVANCED COLORECTAL-CARCINOMA ; COLON-CANCER ; SINGLE INSTITUTION ; CERVICAL-CANCER ; OPEN COLECTOMY ; ILEAL CONDUIT ; OPEN SURGERY ; FOLLOW-UP
英文摘要

Background: Previous reports about laparoscopic total pelvic exenteration (LTPE) are still limited. In the present study, we described our single-center experience of the initial 11 cases.

Methods: Between April 2011 and September 2015, eight males and three females diagnosed as pelvic malignancies underwent LTPE by the same operation team. We retrospectively collected all cases′ parameters about surgical technique. Thirty-seven patients who received open surgery were also retrospectively collected. A comparison between LTPE and open surgery was performed to evaluate the feasibility and safety of LTPE.

Results: Eleven cases successfully underwent the LTPE without any intraoperative complication. No open conversion was required. Eight patients underwent Bricker′s procedure. Three patients were performed with the cutaneous ureterostomy. Anus preservation operation was performed in three patients. Compared with open surgery, LTPE had longer mean operative time (565.2 vs 468.2 min, p = 0.004) but less mean blood loss (547.3 vs 1033.0 ml, p < 0.001) and shorter postoperative hospitalization time (15.3 vs 22.4 days, p = 0.004). One patient died of pulmonary embolism in the 7th month of follow-up time. One patient died of recurrence in the 12th month of follow-up time. Nine patients are still alive without recurrence and metastasis. The mean follow-up time was 11.1 months.

Conclusions: The technique of LTPE seems to be feasible and safe in the treatment of carefully selected patients of pelvic malignancies. LTPE can also decrease the blood loss, the recovery time, and the hospital stay. But the oncological safety and long-term outcome of LTPE still need to be explored.

语种英语
所属项目编号81272710
资助者Natural Science Foundation of China ; Natural Science Foundation of China
WOS记录号WOS:000362875000001
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/57387
专题北京大学第一临床医学院_泌尿外科
作者单位1.Peking Univ, Dept Urol, Hosp 1, Beijing 100034, Peoples R China
2.Peking Univ, Inst Urol, Beijing 100034, Peoples R China
3.Natl Urol Canc Ctr, Beijing 100034, Peoples R China
4.Peking Univ, Hosp 1, Dept Gen Surg, Beijing 100034, Peoples R China
5.Peking Univ, Inst Gen Surg, Hosp 1, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Yang, Kunlin,Cai, Lin,Yao, Lin,et al. Laparoscopic total pelvic exenteration for pelvic malignancies: the technique and short-time outcome of 11 cases[J]. WORLD JOURNAL OF SURGICAL ONCOLOGY,2015,13.
APA Yang, Kunlin.,Cai, Lin.,Yao, Lin.,Zhang, Zheng.,Zhang, Cuijian.,...&Zhou, Liqun.(2015).Laparoscopic total pelvic exenteration for pelvic malignancies: the technique and short-time outcome of 11 cases.WORLD JOURNAL OF SURGICAL ONCOLOGY,13.
MLA Yang, Kunlin,et al."Laparoscopic total pelvic exenteration for pelvic malignancies: the technique and short-time outcome of 11 cases".WORLD JOURNAL OF SURGICAL ONCOLOGY 13(2015).
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