Laparoscopic anterior pelvic exenteration with sigmoid colon resection (clinical observation)
https://doi.org/10.17650/2220-3478-2017-7-2-60-65
Abstract
The clinical observation demonstrates a successful surgical treatment of a 61-year-old female patient K. (body mass index 38.4) diagnosed with locally advanced sigmoid colon cancer protruded into the bladder and uterus (сT4bN2M0) with formation of a colovesical fistula. The patient underwent surgical treatment in the form of laparoscopic resection of the sigmoid colon and supralevator anterior pelvic exenteration with formation of a Bricker conduit. Intraoperative blood loss was 200 ml. Postoperative period was smooth, with fast track rehabilitation; the patient was discharged on day 9. Considering cancer stage, the patient received XELOX as adjuvant chemotherapy for 6 months after the surgery. During a year of follow-up, no signs of disease progression were evident. The patient is fully socially rehabilitated.
About the Authors
A. O. Rasulov
N.N. Blokhin National Medical Research Oncology Center, Ministry of Health of Russia
Russian Federation
Russian Federation
V. A. Aliev
N.N. Blokhin National Medical Research Oncology Center, Ministry of Health of Russia
Russian Federation
Russian Federation
A. I. Ovchinnikova
N.N. Blokhin National Medical Research Oncology Center, Ministry of Health of Russia
Russian Federation
Russian Federation
Kh. E. Dzhumabaev
N.N. Blokhin National Medical Research Oncology Center, Ministry of Health of Russia
Russian Federation
Russian Federation
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