Minimally invasive total pelvic exenteration for symptomatic locally advanced prostate cancer with rectal invasion: Indications and technical considerations.
Asian J Endosc Surg
; 17(2): e13290, 2024 Apr.
Article
en En
| MEDLINE
| ID: mdl-38355902
ABSTRACT
In cases of rectal invasion by locally invasive prostate cancer (LAPC) leading to severe pain or bleeding, total pelvic exenteration (TPE) is necessary. Here, we present two cases of successful minimally invasive TPE one performed laparoscopically for local recurrence with rectal bleeding after laparoscopic radical prostatectomy, and another done robotically for LAPC (clinical T4N1M0) accompanied by rectal bleeding. Medical treatments were ineffective in the latter case, and the tumor occupied a significant portion of the pelvis. We adopted a simultaneous transperineal approach and performed intracorporeal ileal conduit formation. Our cases highlight the challenging nature of minimally invasive TPE for symptomatic LAPC. Despite its complexity, these techniques prove viable and valuable in managing LAPC-related symptoms, emphasizing their practical utility in clinical settings.
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Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Exenteración Pélvica
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Neoplasias de la Próstata
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Neoplasias del Recto
Tipo de estudio:
Diagnostic_studies
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Observational_studies
Idioma:
En
Revista:
Asian J Endosc Surg
Año:
2024
Tipo del documento:
Article