Laparoscopy-assisted transvaginal total exenteration for locally advanced cervical cancer with bladder invasion after radiotherapy

Meng Yeh Lin, Eric W. Fan, Wen-Hsiang Chiou, Yu Feng Tian, Ming Ping Wu, Alex C. Liao

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

When invasive cervical cancer involves the urinary bladder or rectum, exenteration can be curative treatment. However, this operation, particularly by an open approach, carries significant morbidity, both physically and psychologically. Laparoscopic surgery has been documented to be a reasonable alternative to the open counterpart for a variety of pelvic operative procedures, including such advanced procedures as laparoscopy-assisted vaginal hysterectomy, total laparoscopic hysterectomy, and laparoscopy radical hysterectomy. With improving surgical technology and increasing surgical experience, exenteration is a logical extension of current laparoscopic practice. However, it raises skepticism regarding the feasibility and justification for the complicated surgery. We herein describe our experience in a patient undergoing total exenteration assisted by laparoscopic technology for advanced recurrent cervical cancer after extensive radiotherapy. Transperitoneal laparoscopic total exenteration with ureterosigmoidstomy and end-sigmoidostomy was accomplished in 6 hours. The whole specimen was removed en bloc transvaginally. The patient tolerated the procedure well. The only complication was a wound infection 50 days postoperatively that was controlled with debridement and antibiotics. No episodes of pyelonephritis occurred. After 1 year of follow-up, the patient is free of cancer by imaging studies and lives without associated morbidity of this extensive palliative operation except the care of the sigmoid colostomy.

Original languageEnglish
Pages (from-to)867-870
Number of pages4
JournalJournal of Endourology
Volume18
Issue number9
Publication statusPublished - Nov 2004

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Urinary Bladder Neoplasms
Uterine Cervical Neoplasms
Laparoscopy
Radiotherapy
Hysterectomy
Technology
Morbidity
Vaginal Hysterectomy
Colostomy
Pyelonephritis
Operative Surgical Procedures
Sigmoid Colon
Debridement
Wound Infection
Rectum
Urinary Bladder
Anti-Bacterial Agents
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Urology

Cite this

Lin, M. Y., Fan, E. W., Chiou, W-H., Tian, Y. F., Wu, M. P., & Liao, A. C. (2004). Laparoscopy-assisted transvaginal total exenteration for locally advanced cervical cancer with bladder invasion after radiotherapy. Journal of Endourology, 18(9), 867-870.

Laparoscopy-assisted transvaginal total exenteration for locally advanced cervical cancer with bladder invasion after radiotherapy. / Lin, Meng Yeh; Fan, Eric W.; Chiou, Wen-Hsiang; Tian, Yu Feng; Wu, Ming Ping; Liao, Alex C.

In: Journal of Endourology, Vol. 18, No. 9, 11.2004, p. 867-870.

Research output: Contribution to journalArticle

Lin, Meng Yeh ; Fan, Eric W. ; Chiou, Wen-Hsiang ; Tian, Yu Feng ; Wu, Ming Ping ; Liao, Alex C. / Laparoscopy-assisted transvaginal total exenteration for locally advanced cervical cancer with bladder invasion after radiotherapy. In: Journal of Endourology. 2004 ; Vol. 18, No. 9. pp. 867-870.
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