Synchronous abdominal tumors: is combined laparoscopic surgery in a single approach a safe option?
Int. braz. j. urol
; 44(3): 483-490, May-June 2018. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-954036
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT Background and Purpose:
Recent advances in cancer treatment have resulted in bet- ter prognosis with impact on patient's survival, allowing an increase in incidence of a second primary neoplasm. The development of minimally invasive surgery has provided similar outcomes in comparison to open surgery with potentially less mor- bidity. Consequently, this technique has been used as a safe option to simultaneously treat synchronous abdominal malignancies during a single operating room visit. The objective of this study is to describe the experience of two tertiary cancer hospitals in Brazil, in the minimally invasive treatment of synchronous abdominal neoplasms and to evaluate its feasibility and peri-operative results. Materials andMethods:
We retrospectively reviewed the data from patients who were submitted to combined laparoscopic procedures performed in two tertiary hospitals in Brazil from May 2009 to February 2015.Results:
A total of 12 patients (9 males and 3 females) with a mean age of 58.83 years (range 33 to 76 years) underwent combined laparoscopic surgeries for the treatment of at least one urological disease. The total average duration of surgery was 339.8 minutes (range 210 to 480 min). The average amount of intraoperative bleeding was 276.6mL (range 70 to 550mL) and length of hospitalization was 5.08 days (range 3 to 10 days). Two patients suffered minor complications regarding Clavien system during the immediate postoperative period.Conclusions:
Combined laparoscopic surgery for the treatment of synchronous tumors is feasible, viable and safe. In our study, there was a low risk of postoperative morbidity.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Carcinoma
/
Laparoscopia
/
Neoplasias Abdominais
/
Neoplasias Primárias Múltiplas
Tipo de estudo:
Estudo de avaliação
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Estados Unidos
Instituição/País de afiliação:
Faculdade de Medicina do ABC/BR
/
Hospital de Câncer de Barretos/BR
/
MD Anderson Cancer Center/US